| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL TARRAU | 1801484332 | 2021-01-10 |
| Entity Type | Individual |
| Provider Name | Michael Tarrau |
| Practice Office Address | 52 W UNDERWOOD ST ORLANDO, FL US |
| Practice Office Telephone | 3218415111 |
| Mailing Address | 9031 SW 227TH ST UNIT 9 CUTLER BAY, FL 331901842 US |
| Business Telephone | 7867383775 |
| Code | License No | State |
|---|---|---|
| 390200000X PRIMARY |