Maduro, Tara
Maduro, Tara is an individual health care provider with primary practice located at 5221 Hanff Ln , New Port Richey FL 34652-4226. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Maduro, Tara can be contacted via phone (727) 841-0515.Contact Information
Primary practice address
5221 Hanff Ln
New Port Richey FL 34652-4226
Phone: (727) 841-0515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1659481521 |
|---|---|
| LBN Legal business name | Maduro, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659481521 | NPPES |
| Florida | Other | PT17785 | LICENSE# |
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