Pistoria, Tamara Threlkeld
Pistoria, Tamara Threlkeld is an individual health care provider with primary practice located at 1033 N Parkway Frontage Rd , Lakeland FL 33803-0401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pistoria, Tamara Threlkeld can be contacted via phone (863) 647-8011.Contact Information
Primary practice address
1033 N Parkway Frontage Rd
Lakeland FL 33803-0401
Phone: (863) 647-8011
Fax: (863) 647-8029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS0008614 | Florida |
Profile Details
| NPI number | 1932107158 |
|---|---|
| LBN Legal business name | Pistoria, Tamara Threlkeld |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jun 26th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932107158 | NPPES |
| Florida | MEDICAID | 264246800 |
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