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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1982627352 NPPES
Florida MEDICAID 117797800
Florida Other P000120957
Florida Other 46926

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