Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tamara Grigaltchik

Individual provider Military Health Care Provider · NPI 1265762017

Mrs. Tamara Grigaltchik is a Military Health Care Provider in North Port, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
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Practice location Address checks out

12105 Madrid Ave
North Port, FL 34287-1123
Phone: (941) 423-0019
Fax: (941) 423-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 6906380 (FL)

Record details

NPI number1265762017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2009
Last updated in NPPESDecember 29, 2009
Mailing address12105 Madrid Ave, North Port, FL 34287-1123