Individual
MRS. TARA HAGGERTY AUTH
Active
Individual
MRS. TARA HAGGERTY AUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002890
CT
363AM0700X
Medical Physician Assistant
Primary
PA9114846
FL
Other
Enumeration date
01/06/2010
Last updated
05/07/2024
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