Josephine Racimo Estampador Tan in Kissimmee - Specialist
Josephine Racimo Estampador Tan - NPI 1003807868
Josephine Racimo Estampador Tan is a Specialist in Kissimmee, Florida. Josephine Racimo Estampador Tan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Josephine Racimo Estampador Tan is 1003807868. The last update date is 2012-11-26.
Josephine Racimo Estampador Tan's current location address is 1125 N Central Ave, Kissimmee, Florida. You can contact this provider via phone number 4079311887 and fax number 4079312056. The mailing address for Josephine Racimo Estampador Tan is 1125 N Central Ave, Kissimmee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Josephine Racimo Estampador Tan |
|---|---|
| Address | 1125 N Central Ave, Kissimmee, Florida |
| Phone Number | 4079311887 |
| Fax Number | 4079312056 |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1003807868 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2012-11-26 |
Provider Mailing Address Detail
| Address | 1125 N Central Ave |
|---|---|
| City | Kissimmee |
| State | Florida (FL) |
| Post Code | 347414405 |
| Phone Number | 4079311887 |
| Fax Number | 4079312056 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME 60270 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1290808 | FL | CIGNA PROVIDER ID # | |
| 270637 | FL | AVMED PROVIDER ID # | |
| 14049 | FL | BCBS PROVIDER ID # | |
| 173108 | FL | WELLCARE PROVIDER ID # | |
| 371692900 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Josephine Racimo Estampador Tan by the Centers for Medicare & Medicaid Services?
The Josephine Racimo Estampador Tan has been issued the NPI (National Provider Identifier) 1003807868. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Josephine Racimo Estampador Tan?
The Josephine Racimo Estampador Tan is physically situated at 1125 N Central Ave, in the city of Kissimmee, state of FL, with the postal code 347414405.
What is the Josephine Racimo Estampador Tan's specialty and taxonomy code?
The Josephine Racimo Estampador Tan's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Josephine Racimo Estampador Tan receive its 1003807868 assignment from the Centers for Medicare & Medicaid Services?
The Josephine Racimo Estampador Tan was assigned its 1003807868 by the Centers for Medicare & Medicaid Services on 2005-11-02.
When was the information pertaining to Josephine Racimo Estampador Tan most recently updated or revised?
The details related to Josephine Racimo Estampador Tan, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-26.