Hamilton, Tara

Hamilton, Tara is an individual health care provider with primary practice located at 3554 1St Ave N , St Petersburg FL 33713-8402. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hamilton, Tara can be contacted via phone (727) 321-4846.

Contact Information

Primary practice address
3554 1St Ave N St Petersburg FL 33713-8402
Phone: (727) 321-4846
Fax: (727) 321-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 2966472 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP2966472 Florida

Profile Details

NPI number 1689661282
LBN Legal business name Hamilton, Tara
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 23rd, 2012 - about 13 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 1689661282 NPPES
Florida MEDICAID 3053695-00

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