| Tara Philcox Limited Liability Company | |
|
9079 N Dickens Dr Citrus Springs FL 34434-4943 | |
| (727) 619-6309 | |
| (352) 218-7635 |
| Full Name | Tara Philcox Limited Liability Company |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9079 N Dickens Dr, Citrus Springs, Florida |
| Authorized Official Name and Position | Tara A Philcox (OWNER) |
| Authorized Official Contact | 3055607583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Philcox Limited Liability Company 9079 N Dickens Dr Citrus Springs FL 34434-4943 Ph: (727) 619-6309 | Tara Philcox Limited Liability Company 9079 N Dickens Dr Citrus Springs FL 34434-4943 Ph: (727) 619-6309 |
| NPI Number | 1316796949 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 4082140199 |
|---|---|
| Medicare Enrollment ID | O20241212003739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316796949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tara Ann Philcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982288171 PECOS PAC ID: 3678939592 Enrollment ID: I20230519000569 |
Sara Matos Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 W Trade Ln, Citrus Springs, FL 34434 Phone: 347-721-1527 |