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Organization

MY PHYSICIAN ONLINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TARA WIGGINS-JONES PA (OWNER)
(954) 778-8007
Entity
Organization

Contact information

Practice address
9540 NW 23RD ST, CORAL SPRINGS, FL 33065-4974
(954) 778-8007
(949) 655-8591
Mailing address
9540 NW 23RD ST, CORAL SPRINGS, FL 33065-4974
(954) 778-8007
(949) 655-8591

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
08/06/2020
Last updated
08/06/2020
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