Vicari-Green, Tammy J.

Vicari-Green, Tammy J. is an sole proprietor health care provider with primary practice located at 2776 Cleveland Ave , Fort Myers FL 33901-5864. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vicari-Green, Tammy J. can be contacted via phone (239) 343-1614.

Contact Information

Primary practice address
2776 Cleveland Ave Fort Myers FL 33901-5864
Phone: (239) 343-1614
Fax: (239) 343-3695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN291664L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA002095L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9112219 Florida

Profile Details

NPI number 1629174578
LBN Legal business name Vicari-Green, Tammy J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Mar 11th, 2025 - about last year

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 1629174578 NPPES
Florida MEDICAID 106153700

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