Provider Demographics
NPI:1851731947
Name:TACKORE, NADINA AMARA (MD)
Entity type:Individual
Prefix:DR
First Name:NADINA
Middle Name:AMARA
Last Name:TACKORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301A W PALMETTO PARK RD STE 200C
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3466
Mailing Address - Country:US
Mailing Address - Phone:561-421-6961
Mailing Address - Fax:561-421-6963
Practice Address - Street 1:7301A W PALMETTO PARK RD STE 200C
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3466
Practice Address - Country:US
Practice Address - Phone:561-421-6961
Practice Address - Fax:561-421-6963
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133197207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology