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Search › Florida › Surgery Physician

Tara Ennis, MD

NPI 1700961141 · on the registry since 2006 · sole proprietor

Practice

Address
1042 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone
(850) 863-0400
Fax
(850) 863-0417
Organisation at this address
Thomas H Moraczewski Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Surgery Physician
208600000X
Also registered as
Specialist
Licence states on file
AL, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-07

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