Provider Demographics
NPI:1699151191
Name:TIAO, NARRY (DVM)
Entity type:Individual
Prefix:
First Name:NARRY
Middle Name:
Last Name:TIAO
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 LAKE UNDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8223
Mailing Address - Country:US
Mailing Address - Phone:407-920-1579
Mailing Address - Fax:
Practice Address - Street 1:7600 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8223
Practice Address - Country:US
Practice Address - Phone:407-920-1579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL128452472V0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472V0600XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherVeterinary