Monette, Tara

Monette, Tara is an individual health care provider with primary practice located at 765 Image Way , Orange City FL 32763-8399. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Monette, Tara can be contacted via phone (386) 774-7411.

Contact Information

Primary practice address
765 Image Way Orange City FL 32763-8399
Fax: (386) 774-7412
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9179359 Florida

Profile Details

NPI number 1598935595
LBN Legal business name Monette, Tara
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Mar 6th, 2015 - about 9 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 1598935595 NPPES
Florida MEDICAID 000643700

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