Tara D Wilson in Daytona Beach - Emergency Medicine

Tara D Wilson - NPI 1194899740

Tara D Wilson is a Emergency Medicine in Daytona Beach, Florida. Tara D Wilson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Tara D Wilson is 1194899740. The last update date is 2016-06-13.

Tara D Wilson's current location address is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862542285 and fax number 3864251304. The mailing address for Tara D Wilson is 303 N Clyde Morris Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Tara D Wilson
Address 303 N Clyde Morris Blvd, Daytona Beach, Florida
Phone Number 3862542285
Fax Number 3864251304
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1194899740
Provider Enumeration Date 2006-11-17
Last Updated Date 2016-06-13

Provider Mailing Address Detail

Address 303 N Clyde Morris Blvd
City Daytona Beach
State Florida (FL)
Post Code 321142709
Phone Number 3862542285
Fax Number 3864251304

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No ME081444
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME81444 FL STATE MEDICAL LICENSE
264005800 FL --

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FAQs about Tara D Wilson

What is the unique 10-digit identification code assigned to Tara D Wilson by the Centers for Medicare & Medicaid Services?

The Tara D Wilson has been issued the NPI (National Provider Identifier) 1194899740, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Tara D Wilson's facilities are geographically located?

The facilities of Tara D Wilson are physically situated at the following location: 303 N Clyde Morris Blvd, Daytona Beach, FL, 321142709.

What is Tara D Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tara D Wilson is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194899740 to Tara D Wilson?

The Centers for Medicare & Medicaid Services originally issued the 1194899740 to Tara D Wilson on 2006-11-17.

When was the information related to Tara D Wilson most recently updated or refreshed?

The details pertaining to the Tara D Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-13.

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