Individual
TARA TOMY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 MEDICAL PARK DR STE 500, TAMPA, FL 33613-6600
(813) 615-7028
(813) 615-8008
Mailing address
3000 MEDICAL PARK DR STE 500, TAMPA, FL 33613-6600
(813) 615-7028
(813) 615-8008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064365
PA
363AM0700X
Medical Physician Assistant
PA9111145
FL
Other
Enumeration date
05/23/2018
Last updated
01/31/2024
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