Individual
MR. KEVIN PATRICK TAGUBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3624 WHISPER CREEK BLVD, MIDDLEBURG, FL 32068-3490
(904) 449-3436
Mailing address
3624 WHISPER CREEK BLVD, MIDDLEBURG, FL 32068-3490
(904) 449-3436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30041
FL
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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