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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TAMARA GRIGALTCHIK

Active Sole Proprietor

MRS. TAMARA GRIGALTCHIK is a Military Health Care Provider healthcare provider located in NORTH PORT, Florida. NPI 1265762017 is currently active in the NPPES registry. Verify at CMS.

Military Health Care Provider · NORTH PORT, FL

Registration Details

NPI Number
1265762017
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2009 (16.659677268738 yrs)
Last Updated
Dec 29, 2009
License
6906380 (FL)
Sole Proprietor
Yes

Practice Information

Address
12105 MADRID AVE
NORTH PORT, FL, 342871123
Browse FL providers · Browse ZIP 34287
Phone
9414230019
Fax
9414230019
Primary Specialty
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.