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Diana Mactavish
NPI 1659892214 · on the registry since 2017
Practice
- Address
- 500 N Congress Ave
Lake Park, FL 33403 - Phone
- (561) 352-2381
- Organisation at this address
- Holiday Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-17
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