Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Vandenbosch, MS, ATC, CSCS, LAT

Individual provider Athletic Trainer · NPI 1174991210

Tara Vandenbosch, MS, ATC, CSCS, LAT is an Athletic Trainer in Miami Shores, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

11300 NE 2nd Ave
Miami Shores, FL 33161-6628
Phone: (308) 899-3572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL4125 (FL)

Record details

NPI number1174991210
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC , CSCS , LAT
Sole proprietorYes
NPI enumeratedSeptember 7, 2015
Last updated in NPPESSeptember 7, 2015

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