Organization
NATASHA TANBAKUCHI. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA SARAH TANBAKUCHI AP (OWNER)
(954) 551-9678
Entity
Organization
Contact information
Practice address
800 E BROWARD BLVD STE 300, FORT LAUDERDALE, FL 33301-2024
(954) 551-9678
(954) 337-7683
Mailing address
800 E BROWARD BLVD STE 300, FORT LAUDERDALE, FL 33301-2024
(954) 551-9678
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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