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Tara Madison

NPI 1518383850 · on the registry since 2014

Practice

Address
97 Flagler Plaza Dr
Palm Coast, FL 32137
Phone
(386) 693-4883
Fax
(386) 693-4892
Clinicians at this address
3

Registry record

Primary taxonomy
246Z00000X
246Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-11

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