Gavcovich, Tara

Gavcovich, Tara is an individual health care provider with primary practice located at 1611 Nw 12Th Ave , Miami FL 33136-1005. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gavcovich, Tara can be contacted via phone (305) 585-6726.

Contact Information

Primary practice address
1611 Nw 12Th Ave Miami FL 33136-1005
Phone: (305) 585-6726
Fax: (305) 585-7025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 149763 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 149763 Florida

Profile Details

NPI number 1568966521
LBN Legal business name Gavcovich, Tara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated May 13th, 2024 - about 4 months 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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