Tadom, Tammy
Tadom, Tammy is an sole proprietor health care provider with primary practice located at 525 Technology Park Ste 109 , Lake Mary FL 32746-7107. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Allopathic & Osteopathic Physicians / Emergency Medicine. Agencies / Community/Behavioral Health is her primary health care specialty. Tadom, Tammy can be contacted via phone (407) 647-2346.Contact Information
Primary practice address
525 Technology Park Ste 109
Lake Mary FL 32746-7107
Phone: (407) 647-2346
Fax: (407) 647-5431
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Community/Behavioral Health | 251S00000X | ME78176 | Florida |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME78176 | Florida |
Profile Details
NPI number | 1982627352 |
---|---|
LBN Legal business name | Tadom, Tammy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 25th, 2006 |
Last updated | Mar 20th, 2024 - about 6 months 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 | 1982627352 | NPPES |
Florida | MEDICAID | 117797800 | |
Florida | Other | P000120957 | |
Florida | Other | 46926 |
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