Organization
TARA HARDEN M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HARDEN M.D. (OWNER/PHYSICIAN)
(850) 863-0400
Entity
Organization
Contact information
Practice address
1775 LEWIS TURNER BLVD, SUITE 101, FORT WALTON BEACH, FL 32547-1267
(850) 863-0400
(850) 863-0417
Mailing address
1775 LEWIS TURNER BLVD, SUITE 101, FORT WALTON BEACH, FL 32547-1267
(850) 863-0400
(850) 863-0417
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME121048
FL
Other
Enumeration date
08/19/2014
Last updated
08/25/2014
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