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Organization
JATA CARE
Active
Organization
JATA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA LYNETTE SUKIE ARNP (OWNER)
(561) 562-1816
Entity
Organization
Contact information
Practice address
1375 GATEWAY BLVD, BOYNTON BEACH, FL 33426-8304
(561) 577-2734
Mailing address
1375 GATEWAY BLVD STE 16, BOYNTON BEACH, FL 33426-8304
(561) 562-1816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346632734
—
FL
Enumeration date
04/20/2021
Last updated
09/13/2023
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