MICHELLE TACKETT

TAMPA, FL
NPI1851800676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110655)
Enumeration Date2017-09-25
Last Update Date2023-10-02
Business Address
MICHELLE TACKETT PA-C
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
Mailing Address
MICHELLE TACKETT PA-C
3808 CARROLLWOOD PLACE CIR APT 103
TAMPA, FL 33624-3059
Phone number:
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