Thaggert, Tammy Nicole

Thaggert, Tammy Nicole is an individual health care provider with primary practice located at 4613 S Orange Blossom Trl , Orlando FL 32839-1705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Thaggert, Tammy Nicole can be contacted via phone (407) 232-9833.

Contact Information

Primary practice address
4613 S Orange Blossom Trl Orlando FL 32839-1705
Phone: (407) 232-9833
Fax: (407) 232-9829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 82524 Florida

Profile Details

NPI number 1174534770
LBN Legal business name Thaggert, Tammy Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 9th, 2022 - about 4 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 1174534770 NPPES
Florida MEDICAID 276196300

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