Individual
TAHSANA SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E SAMPLE RD, POMPANO BEACH, FL 33064-3502
(954) 941-8300
Mailing address
201 E SAMPLE RD, POMPANO BEACH, FL 33064-3502
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9339379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
947853824
UNITED HEALTH
FL
Enumeration date
05/25/2018
Last updated
05/25/2018
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