SearchFlorida171M00000X

Tara Tallaksen

NPI 1326201021 · on the registry since 2008 · sole proprietor

Practice

Address
10111 North Silver Palm Dr
Estero, FL 33928
Phone
(239) 218-6029

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-07-03

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