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MRS. TAMARA GRIGALTCHIK
NPI 1265762017
Military Health Care Provider in North Port, FL

Active since December 29, 2009
12105 MADRID AVE, NORTH PORT, FL 34287(941) 423-0019(941) 423-0019 Get Directions Write a Review

NPPES record last updated: December 29, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tamara Grigaltchik NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMARA GRIGALTCHIK (NPI 1265762017) is an individual military health care provider provider in North Port, Florida, licensed in Florida (6906380) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1265762017
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameMRS. TAMARA GRIGALTCHIK
Location Address12105 MADRID AVENorth Port, FL 34287-1123
Mailing Address12105 Madrid AveNorth Port, FL 34287-1123 · (941) 423-0019 · Fax (941) 423-0019
Phone(941) 423-0019
Fax(941) 423-0019
Sole ProprietorYes
Enumeration DateDecember 29, 2009
✔ NPI 1265762017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in FL · 6906380
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

12105 MADRID AVE, North Port, FL 34287
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Grigaltchik's NPI number?

The NPI number for Tamara Grigaltchik is 1265762017. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Where is Tamara Grigaltchik located?

Tamara Grigaltchik practices at 12105 Madrid Ave, North Port, FL 34287. The listed phone number is (941) 423-0019.

What is Tamara Grigaltchik's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Tamara Grigaltchik was last updated on December 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.