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Organization
THE FAMILY PRACTICE OF TAMARAC, CORP
Active
Organization
THE FAMILY PRACTICE OF TAMARAC, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA HATCHER (ADMINISTRATOR)
(954) 486-1925
Entity
Organization
Contact information
Practice address
4699 N STATE ROAD 7, SUITE B2, LAUDERDALE LAKES, FL 33319-5879
(954) 486-1925
(954) 486-1983
Mailing address
4699 NORTH STATE ROAD 7, SUITE B2, TAMARAC, FL 33319
(954) 486-1925
(954) 486-1983
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC7924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM 14257
DOH
FL
Enumeration date
01/16/2008
Last updated
01/16/2008
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