Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 072814 | GA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME142300 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | 072814 | GA |
NPI | 1699931915 |
---|---|
Provider Name | Dr. Tara Nicole Hrobowski-Blackman |
First Address | Largo, FL 33770-2264 |
Second Address | Largo, FL 33770-2264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 02/01/2020 |