Tamayo, Ditmara
Tamayo, Ditmara is an individual health care provider with primary practice located at 11760 W Sample Rd Ste 101 , Coral Springs FL 33065-3199. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tamayo, Ditmara can be contacted via phone (954) 345-5644.Contact Information
Primary practice address
11760 W Sample Rd Ste 101
Coral Springs FL 33065-3199
Phone: (954) 345-5644
Fax: (954) 345-5683
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW6705 | Florida |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | SW6705 | Florida |
Profile Details
NPI number | 1447446810 |
---|---|
LBN Legal business name | Tamayo, Ditmara |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 19th, 2007 |
Last updated | Jun 27th, 2019 - about 5 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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