Individual
CORY TARASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 8TH AVE W, PALMETTO, FL 34221-5120
(941) 531-2800
Mailing address
430 8TH AVE W, PALMETTO, FL 34221-5120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9118487
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/14/2024
Last updated
04/09/2024
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