Edwy, Tamara
Edwy, Tamara is an sole proprietor health care provider with primary practice located at 1532 Sw Mapp Rd , Palm City FL 34990-2446. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Edwy, Tamara can be contacted via phone (772) 678-6704.Contact Information
Primary practice address
1532 Sw Mapp Rd
Palm City FL 34990-2446
Phone: (772) 678-6704
Fax: (772) 494-7093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-18-30742 | Florida |
Profile Details
| NPI number | 1043698558 |
|---|---|
| LBN Legal business name | Edwy, Tamara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2015 |
| Last updated | Apr 19th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043698558 | NPPES |
| Florida | MEDICAID | 101992500 |
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