Maynard, Tamara Lea

Maynard, Tamara Lea is an individual health care provider with primary practice located at 18934 N Dale Mabry Hwy Ste 101 , Lutz FL 33548-4914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Maynard, Tamara Lea can be contacted via phone (813) 948-2679.

Contact Information

Primary practice address
18934 N Dale Mabry Hwy Ste 101 Lutz FL 33548-4914
Phone: (813) 948-2679
Fax: (813) 948-2694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 11012054 Florida

Profile Details

NPI number 1710551650
LBN Legal business name Maynard, Tamara Lea
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2021
Last updated Jan 3rd, 2022 - about 3 years ago

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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