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Tamara Grigaltchik

NPI 1265762017 · on the registry since 2009 · sole proprietor

Practice

Address
12105 Madrid Ave
North Port, FL 34287
Phone
(941) 423-0019
Fax
(941) 423-0019

Registry record

Primary taxonomy
171000000X
171000000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida