Edwy, Tamara

Edwy, Tamara is an sole proprietor health care provider with primary practice located at 1532 Sw Mapp Rd , Palm City FL 34990-2446. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Edwy, Tamara can be contacted via phone (772) 678-6704.

Contact Information

Primary practice address
1532 Sw Mapp Rd Palm City FL 34990-2446
Fax: (772) 494-7093
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-30742 Florida

Profile Details

NPI number 1043698558
LBN Legal business name Edwy, Tamara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2015
Last updated Apr 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043698558 NPPES
Florida MEDICAID 101992500

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