Tambasco, John Anthony

Tambasco, John Anthony is an individual health care provider with primary practice located at 3157 N University Dr Suite 103, Pembroke Pines FL 33024-2258. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Tambasco, John Anthony can be contacted via phone (954) 442-9422.

Contact Information

Primary practice address
3157 N University Dr Suite 103 Pembroke Pines FL 33024-2258
Phone: (954) 442-9422
Fax: (954) 442-9150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 4906 Florida

Profile Details

NPI number 1770688681
LBN Legal business name Tambasco, John Anthony
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770688681 NPPES
Florida MEDICAID 884371600

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