TARA HARDEN M.D., P.A.
Radiology at Lewis Turner Blvd, Fort Walton Beach, FL

License number
Florida ME121048
Category
Radiology
Type
Surgery
Owner
Name: TARA HARDEN M.D.
Title: OWNER/PHYSICIAN
Phone: (850) 863-0400
Address
Address
1775 Lewis Turner Blvd SUITE 101, Fort Walton Beach, FL 32547
National Provider ID: 1659770311
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TARA HARDEN M.D., P.A. at bizstanding.com

TARA HARDEN, MD, PA

1775 Lewis Turner Blvd STE 101, Fort Walton Beach, FL 32547

Industry:
Nonclassifiable Establishments
Registration:
Jul 16, 2014
State ID:
P14000060214
Business type:
Florida Profit Corporation
Secretary, President:
Tara Harden (Secretary, President), 8 Pembroke Pl NE, Fort Walton Beach, FL 32547 (Physical)
Agent:
Harden, Tara,1775 Lewis Turner Blvd, Fort Walton Beach, FL 32547 (Physical)
EIN:
47-1364288

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