Individual
TANYA GEORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2278 SW PLYMOUTH ST, PORT SAINT LUCIE, FL 34953-2379
(772) 349-8608
Mailing address
2278 SW PLYMOUTH ST, PORT SAINT LUCIE, FL 34953-2379
(772) 349-8608
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
APRN11029847
FL
207QA0505X
Adult Medicine Physician
Primary
APRN11029847
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
APRN11029847
FL
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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