Individual
KAREN TARVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 FORT PICKENS ROAD, 212, GULF BREEZE, FL 32561
(850) 293-9173
Mailing address
1390 FT.PICKENS RD.#212, GULF BREEZE, FL 32561
(850) 293-9173
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
52768
FL
247100000X
Radiologic Technologist
8467
MA
247100000X
Radiologic Technologist
Primary
913649
OR
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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