Provider Demographics
NPI:1699931915
Name:HROBOWSKI-BLACKMAN, TARA NICOLE (MD)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:NICOLE
Last Name:HROBOWSKI-BLACKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 W BAY DR STE 301
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2264
Mailing Address - Country:US
Mailing Address - Phone:727-587-7111
Mailing Address - Fax:727-518-0166
Practice Address - Street 1:1345 W BAY DR STE 301
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2264
Practice Address - Country:US
Practice Address - Phone:727-587-7111
Practice Address - Fax:727-518-0166
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA072814207RA0001X, 207RC0000X
FLME142300207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease