Search › Florida › 101YM0800X
Jerry Tackett, IMHC
NPI 1649496399 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1145 12th St
Vero Beach, FL 32960 - Phone
- (772) 559-8673
- Fax
- (772) 562-9451
- Organisation at this address
- Hibiscus Children'S Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2007-07-08
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