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Individual

MONICA BLANCO TAGGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
9900 SW 107TH AVE STE 202, MIAMI, FL 33176-2809
(305) 595-1530
(305) 595-1574
Mailing address
9900 SW 107TH AVE STE 202, MIAMI, FL 33176-2809
(053) 595-1530

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2196
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AY2196
LICENSE
FL
Enumeration date
07/20/2018
Last updated
11/23/2021
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