Individual provider · Type 1 NPI

Tara Goldsmith

Nurse Practitioner · Mangonia Park, FL

NPI number 1174290779 Active

Practice location

901 45th St
Mangonia Park, FL 33407-2413

Fax (561) 844-5245

Mailing address

PO Box 20802
Belfast, ME 04915-4105

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11019678 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174290779

Tara Goldsmith's National Provider Identifier is 1174290779, issued on Aug 23, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mangonia Park, FL. The record was last updated on Aug 1, 2024.