Gaines, Tammy D

Gaines, Tammy D is an individual health care provider with primary practice located at 9401 Sw Discovery Way Ste 201 , Port Saint Lucie FL 34987-2381. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Gaines, Tammy D can be contacted via phone (772) 288-2400.

Contact Information

Primary practice address
9401 Sw Discovery Way Ste 201 Port Saint Lucie FL 34987-2381
Phone: (772) 288-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9111653 Florida

Profile Details

NPI number 1619948775
LBN Legal business name Gaines, Tammy D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 27th, 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 1619948775 NPPES
Florida Other KU584 MEDICARE
Florida Other 11544101 MEDICARE

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