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Organization
TARA A THIEL OD PA
Active
Organization
TARA A THIEL OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA A THIEL OD (OWNER)
(727) 302-0467
Entity
Organization
Contact information
Practice address
6901 22ND AVE N, ST PETERSBURG, FL 33710-3943
(727) 302-0467
(727) 302-0498
Mailing address
2031 8TH ST N, ST PETERSBURG, FL 33704-3246
(727) 302-0467
(727) 302-0498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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