Individual
ANDREW DAVID TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13403 BOYETTE RD, RIVERVIEW, FL 33569-8742
(813) 654-1775
(813) 651-9082
Mailing address
13403 BOYETTE RD, RIVERVIEW, FL 33569-8742
(813) 654-1775
(813) 651-9082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2958622
FL
363LA2200X
Adult Health Nurse Practitioner
APRN2958622
FL
Other
Enumeration date
02/02/2006
Last updated
08/01/2019
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