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Individual

DR. TARA CALABRESE MASSINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, DEPARTMENT OF RADIOLOGY, BOX 100374, GAINESVILLE, FL 32610-3003
(352) 265-0291
Mailing address
1601 SW ARCHER RD, NF/SG VAMC DEPARTMENT OF RADIOLOGY, GAINESVILLE, FL 32608-1135
(352) 376-1611

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 109703
FL
2085R0202X
Diagnostic Radiology Physician
TRN11157
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005941100
FL
Enumeration date
05/21/2007
Last updated
08/27/2012
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