Ha 407 541 4914 Tat
Pharmacist, Ambulatory Care in Orlando, FL. Individual provider (NPI-1).
NPI number1104790658
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1104790658
- Entity type
- Individual (NPI-1)
- Name
- Ha 407 541 4914 Tat
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2025
- Certification date
- Sep 29, 2025
- Last updated
- Oct 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P2201X | Pharmacist, Ambulatory Care | PS40033 | FL | Yes |
Practice location
8337 Southpark CirOrlando, FL 32819-9049
Phone 407-541-4914
Mailing address
1460 Mulligan DrVero Beach, FL 32966-1231
Phone 772-559-4867
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