Individual
MRS. SHERRY JANE TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
349 HOLMES BLVD NW, FORT WALTON BEACH, FL 32548-4150
(850) 833-3364
(850) 833-3366
Mailing address
221 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5066
(850) 833-9240
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN9233170
FL
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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