Tally Hustace is a Pediatrics in Miami, Florida. Tally Hustace practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tally Hustace is 1356379416. The last update date is 2012-01-20.
Tally Hustace's current location address is 1601 Nw 12th Ave, Miami, Florida. You can contact this provider via phone number 3052434029 and fax number 3052438470. The mailing address for Tally Hustace is 1601 Nw 12th Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tally Hustace |
|---|---|
| Address | 1601 Nw 12th Ave, Miami, Florida |
| Phone Number | 3052434029 |
| Fax Number | 3052438470 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1356379416 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2012-01-20 |
Provider Mailing Address Detail
| Address | 1601 Nw 12th Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331016960 |
| Phone Number | 3052434029 |
| Fax Number | 3052438470 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | ARNP3067572 |
|
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3059677-00 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tally Hustace by the Centers for Medicare & Medicaid Services?
The Tally Hustace has been assigned the NPI (National Provider Identifier) 1356379416. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tally Hustace's facilities are geographically located?
The facilities of Tally Hustace are physically situated at the following location: 1601 Nw 12Th Ave, Miami, FL, 331016960.
What is Tally Hustace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tally Hustace's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0200X.
On what date did Tally Hustace receive its 1356379416 assignment from the Centers for Medicare & Medicaid Services?
The Tally Hustace was assigned its 1356379416 on 2006-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tally Hustace most recently updated or refreshed?
The details pertaining to the Tally Hustace, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-20.