Individual
AMIE L TARANTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3822 S WASHINGTON AVE, TITUSVILLE, FL 32780-5845
(321) 636-6914
(321) 636-6916
Mailing address
3822 S WASHINGTON AVE, TITUSVILLE, FL 32780-5845
(321) 636-6914
(321) 636-6916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1489102
FL
Other
Enumeration date
05/24/2006
Last updated
01/13/2010
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