Tara K. Bagen
Family Doctor Family Doctor - Sports Medicine
13020 N Telecom Pkwy
Temple Terrace
, Florida 33637-0925
Tara K. Bagen
Family Doctor Family Doctor - Sports Medicine
13020 N Telecom Pkwy
Temple Terrace
, Florida 33637-0925
(813) 978-9700
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Tara K. Bagen
- 13020 N Telecom Pkwy
- Temple Terrace, FL
- Zip : 33637-0925
- Phone : (813) 978-9700
Second Address
- Tara K. Bagen
- 13020 N Telecom Pkwy
- Temple Terrace, FL
- Zip : 33637-0925
- Phone : (813) 978-9700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | R2811 | TX |
| Y | 207QS0010X | Family Doctor - Sports Medicine | ME134360 | FL |
National Provider Identifier
| NPI | 1316380439 |
|---|---|
| Provider Name | Tara K. Bagen |
| First Address | Temple Terrace, FL 33637-0925 |
| Second Address | Temple Terrace, FL 33637-0925 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2013 |
| Last Update Date | 27/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.