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Dr. Tara Summer Tavakoli, DO
Student in an Organized Health Care Education/Training Program in Bradenton, Florida
NPI 1568040020

Tara Summer Tavakoli is a Student in an Organized Health Care Education/Training Program based in Bradenton, FL. Tara Summer Tavakoli practices in Bradenton, FL and has the professional credentials of DO. The NPI Number for Tara Summer Tavakoli is 1568040020 and holds a License No. (Florida).

The current practice location address for Tara Summer Tavakoli is 206 2Nd St E, Bradenton, FL and can be reached out via phone at 941-746-5111.

Location: 206 2Nd St E, Bradenton, FL, 34208-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568040020
Provider Name
Tara Summer Tavakoli
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
206 2Nd St E, Bradenton, FL, 34208-1000
Phone Number
941-746-5111
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
206 2Nd St E
City
Bradenton
State
Florida
Zip
34208-1000
Phone Number
941-746-5111
Fax Number
person
Provider Business Mailing Address Details
Address
206 2Nd St E
City
Bradenton
State
Florida
Zip
34208-1000
Phone Number
941-746-5111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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