Provider Demographics
NPI:1083220545
Name:JAMES, TARYN
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 HOWELL BRANCH RD STE C206
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1172
Mailing Address - Country:US
Mailing Address - Phone:407-434-9127
Mailing Address - Fax:407-386-7121
Practice Address - Street 1:1555 HOWELL BRANCH RD STE C206
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1172
Practice Address - Country:US
Practice Address - Phone:407-434-9127
Practice Address - Fax:407-386-7121
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty