Tara D Wilson in Daytona Beach - Family Medicine
Tara D Wilson - NPI 1194899740
Tara D Wilson is a Family Medicine in Daytona Beach, Florida. Tara D Wilson practices all healthcare services and medical treatments related to Family 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 |
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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 |
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Provider Enumeration Date | 2006-11-17 |
Last Updated Date | 2016-06-13 |
Provider Mailing Address Detail
Address | 303 N Clyde Morris Blvd |
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City | Daytona Beach |
State | Florida (FL) |
Post Code | 321142709 |
Phone Number | 3862542285 |
Fax Number | 3864251304 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | ME81444 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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ME81444 | FL | STATE MEDICAL LICENSE | |
264005800 | FL | -- |
Post Comment/ Review Below
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 Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
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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