Tara Liske, APRN | |
109 W Wall St, Frostproof, FL 33843-2043 | |
(866) 234-8534 | |
Not Available |
Full Name | Tara Liske |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 109 W Wall St, Frostproof, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316672975 | NPI | - | NPPES |
115868500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11020765 (Florida) | Primary |
Entity Name | Tampa Family Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356347413 PECOS PAC ID: 1254243769 Enrollment ID: O20110105001043 |
Mailing Address | Practice Location Address |
---|---|
Tara Liske, APRN 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Tara Liske, APRN 109 W Wall St, Frostproof, FL 33843-2043 Ph: (866) 234-8534 |
Jennifer Shaw, ARNP, FNP-C, RNC-OB Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 866-234-8534 | |
Amanda L Blitz, A.R.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 863-635-4891 Fax: 863-635-7613 | |
Stephanie Lynn Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 863-635-4891 | |
Teresa A Lyle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Wall St, Frostproof, FL 33843 Phone: 863-635-4891 Fax: 863-635-3545 |