Provider Demographics
NPI:1194008896
Name:MCPHERSON, ZAMAR TARA (ND, RDN (LIC))
Entity Type:Individual
Prefix:DR
First Name:ZAMAR
Middle Name:TARA
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:ND, RDN (LIC)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9755 CRESCENT VIEW DR S
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-5922
Mailing Address - Country:US
Mailing Address - Phone:561-907-8620
Mailing Address - Fax:
Practice Address - Street 1:9755 CRESCENT VIEW DR S
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-5922
Practice Address - Country:US
Practice Address - Phone:561-907-8620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X
FLND 7904133V00000X
FLND7904133N00000X, 133NN1002X
TXDT82009133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No175F00000XOther Service ProvidersNaturopath
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education