MICHELLE TACKETT

TAMPA, FL
NPI1851800676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110655)
Enumeration Date2017-09-25
Last Update Date2025-08-07
Business Address
MICHELLE TACKETT PA-C
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-7365
Mailing Address
MICHELLE TACKETT PA-C
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-7365
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