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Individual

SONIA MARGARITA TAVASKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6888
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
26NJ00288100
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9352428
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020756800
FL
Enumeration date
05/20/2010
Last updated
07/21/2022
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