Connor, Tara

Connor, Tara is an individual health care provider with primary practice located at 2401 Forest Dr , Inverness FL 34453-3720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Connor, Tara can be contacted via phone (352) 344-3777.

Contact Information

Primary practice address
2401 Forest Dr Inverness FL 34453-3720
Phone: (352) 344-3777
Fax: (352) 344-2546
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS 8408 Florida

Profile Details

NPI number 1417998915
LBN Legal business name Connor, Tara
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 13th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417998915 NPPES
Florida MEDICAID 262209200
Florida Other 01084

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