TARA A THIEL, O.D.
Optometry at Citrus Park Dr, Tampa, FL

License number
Florida OPC 3689
Category
Optometry
Type
Optometrist
Address
Address 2
8102 Citrus Park Dr, Tampa, FL 33625
2031 8Th St N, Saint Petersburg, FL 33704
Phone
(813) 926-6288
(727) 804-4632
National Provider ID: 1609919604
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about TARA A THIEL at radaris.com
Name
Address
Phone
Tara Thiel, age 48
2031 8Th St N, Saint Petersburg, FL 33704
Tara Thiel, age 51
3608 Olde Lanark Dr, Land O Lakes, FL 34638

Organization information

See more information about TARA A THIEL at bizstanding.com

TARA A. THIEL, O.D., PA

Saint Petersburg, FL

Status:
Inactive
Industry:
Optometrist's Office
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jul 25, 2003
Inactive since:
Oct 21, 2004
Addresses:
7000 Tyrone Blvd, Saint Petersburg, FL 33710 (Physical)
2031 8 St N, Saint Petersburg, FL 33704 (Mailing)
7000 Tyrone Sq, Saint Petersburg, FL 33710
State ID:
P03000083809
Business type:
Florida Profit Corporation
Director:
Tara A Thiel (Director), 2031 8 St N, Saint Petersburg, FL 33704 (Physical)
Agent:
Jeff Thiel,2031 8 St N, Saint Petersburg, FL 33704 (Physical)
EIN:
75-3125600

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