TARA MADDOX

Home Health Aide

Active Individual
NPI: 1073331666

Practice Address

1425 BLACK PINE CT
Orange Park, FL 32065

Phone: (904) 228-0901

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1073331666 is the National Provider Identifier for TARA MADDOX, a Home Health Aide provider located in Orange Park, FL. This NPI was enumerated on October 1, 2024.
TARA MADDOX practices at 1425 BLACK PINE CT, Orange Park, FL 32065.

Quick Facts

NPI
1073331666
Type
Individual
Enumerated
Oct 1, 2024
Last Updated
Oct 1, 2024

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