Individual
MEGHAN TAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2129
Mailing address
4104 INDIAN BYU N, DESTIN, FL 32541-4320
(315) 882-5069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT018386
PA
Other
Enumeration date
06/21/2012
Last updated
06/08/2023
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