DOUGLAS TACKETT

INVERNESS, FL
NPI1881341253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  APRN11018465)
Enumeration Date2022-03-07
Last Update Date2022-03-07
Business Address
Mr. DOUGLAS TACKETT AGNP-C
801 MEDICAL CT E
INVERNESS, FL 34452-4623
Phone number: 352-765-3434
Mailing Address
Mr. DOUGLAS TACKETT AGNP-C
8853 E HENDERSON TRL
INVERNESS, FL 34450-8879
Phone number: 330-322-6856