Mrs. Tara Lee Madison - Palm Coast, FL

Mrs. Tara Lee Madison

Other Specialist/Technologist in Palm Coast, Florida

NPI 1518383850

Tara Lee Madison is a Other Specialist/Technologist based in Flagler Beach, FL. Tara Lee Madison practices in Palm Coast, FL. The NPI Number for Tara Lee Madison is 1518383850 and holds a License No. 18-44-1424515 (Florida).

The current practice location address for Tara Lee Madison is 97 Flagler Plaza Dr, Palm Coast, FL and can be reached out via phone at 386-693-4883 and via fax at 386-693-4892.

Location: 97 Flagler Plaza Dr, Palm Coast, FL, 32136-2523

NPI Number

1518383850

Provider Name

Tara Lee Madison

Credential

Provider Entity Type

Individual

Gender

Female

Address

97 Flagler Plaza Dr, Palm Coast, FL, 32136-2523

Phone Number

386-693-4883

Fax Number

386-693-4892

Provider Enumeration Date

03/11/2014

Last Update Date

03/09/2024

Address

97 Flagler Plaza Dr

City

Palm Coast

State

Florida

Zip

32137-5965

Phone Number

386-693-4883

Fax Number

386-693-4892

Address

97 Flagler Plaza Dr

City

Palm Coast

State

Florida

Zip

32137-5965

Phone Number

386-693-4883

Fax Number

386-693-4892

Type

Technologists, Technicians & Other Technical Service Providers

Classification

Specialist/Technologist, Other

Speciality

Taxonomy

246Z00000X

License No.

18-44-1424515 (Florida)

Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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