Provider Demographics
NPI:1851731947
Name:TACKORE, NADINA AMARA (MD)
Entity Type:Individual
Prefix:DR
First Name:NADINA
Middle Name:AMARA
Last Name:TACKORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3001 CORAL HILLS DR STE 360
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4172
Mailing Address - Country:US
Mailing Address - Phone:954-341-2916
Mailing Address - Fax:
Practice Address - Street 1:3001 CORAL HILLS DR STE 360
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4172
Practice Address - Country:US
Practice Address - Phone:954-341-2916
Practice Address - Fax:954-341-2990
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL133197207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology