NPI 1073331666

Tara Maddox

Practitioner Home Health Aide Orange Park, FL

Practice location

Address: 1425 Black Pine CT, Orange Park, FL 32065-2513
Phone: (904) 228-0901

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1073331666
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2024
Record last updated: 1 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.