Tara Kellogg

NPI 1023267416 · on the registry since 2008 · sole proprietor

Practice

Address: 3521 W Broward Blvd
3rd Floor
Ft Lauderdale, FL 33312
Phone: (954) 587-1008
Fax: (954) 587-0080
Organisation at this address: Crawford Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida