person
Miss Tara Elaine Vail, PA
Medical Physician Assistant in St Petersburg, Florida
NPI 1164733101

Tara Elaine Vail is a Medical Physician Assistant based in St Petersburg, FL and is specialized in Medical. Tara Elaine Vail practices in St Petersburg, FL and has the professional credentials of PA. The NPI Number for Tara Elaine Vail is 1164733101 and holds a License No. PA9105507 (Florida).

The current practice location address for Tara Elaine Vail is 501 6Th Ave S, St Petersburg, FL and can be reached out via phone at 727-767-8480 and via fax at 727-767-8420.

Location: 501 6Th Ave S, St Petersburg, FL, 33701-4634
person
Provider Profile Details
NPI Number
1164733101
Provider Name
Tara Elaine Vail
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
501 6Th Ave S, St Petersburg, FL, 33701-4634
Phone Number
727-767-8480
Fax Number
727-767-8420
Provider Enumeration Date
06/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002525300 05 FL
institution
Provider Business Practice Location Address Details
Address
501 6Th Ave S
City
State
Zip
33701-4634
Phone Number
727-767-8480
Fax Number
727-767-8420
person
Provider Business Mailing Address Details
Address
501 6Th Ave S
City
State
Zip
33701-4634
Phone Number
727-767-8480
Fax Number
727-767-8420
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9105507 (Florida)
Definition
Definition to come...
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