Tamara Pistoria D.O.

LBN: Tamara Pistoria D.O.
Tamara Pistoria D.O. is an health care organization with primary practice located at 400 Avenue K Se Ste 5, Winter Haven FL 33880-4146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Tamara Pistoria D.O. can be contacted via phone (863) 293-3909, or through Pistoria, Tamara via phone (863) 293-3909.

Contact Information

Primary practice address
400 Avenue K Se Ste 5 Winter Haven FL 33880-4146
Phone: (863) 293-3909
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pistoria, Tamara Doctor of Osteopathy (DO)
Phone: (863) 293-3909

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OF0008614 Florida

Profile Details

NPI number 1619187473
LBN Legal business name Tamara Pistoria D.O.
DBA Doing business as
Authorized official Pistoria, Tamara Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619187473 NPPES
Florida MEDICAID 264246800

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