Tammy Tadom in Lake Mary - Substance Abuse Rehabilitation Facility
Tammy Tadom - NPI 1982627352
Tammy Tadom is a Substance Abuse Rehabilitation Facility in Lake Mary, Florida. Tammy Tadom practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Tammy Tadom is 1982627352. The last update date is 2020-06-18.
Tammy Tadom's current location address is 525 Technology Park, Lake Mary, Florida. You can contact this provider via phone number 4076472346 and fax number 4076475431. The mailing address for Tammy Tadom is 525 Technology Park, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tammy Tadom |
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Address | 525 Technology Park, Lake Mary, Florida |
Phone Number | 4076472346 |
Fax Number | 4076475431 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1982627352 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2020-06-18 |
Provider Mailing Address Detail
Address | 525 Technology Park |
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City | Lake Mary |
State | Florida (FL) |
Post Code | 327467107 |
Phone Number | 4076472346 |
Fax Number | 4076475431 |
Provider's Primary Taxonomy Detail
Speciality | Substance Abuse Rehabilitation Facility |
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Taxonomy | 324500000X |
Licence No | ME78176 |
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P000120957 | FL | RAILROAD MCR | |
269764500 | FL | -- | |
46926 | FL | BC/BS |
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What is the Tammy Tadom's 1982627352?
The Tammy Tadom's NPI (National Provider Identifier) Number is 1982627352. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tammy Tadom's physical address?
The Tammy Tadom is physically located at 525 Technology Park, in the city of Lake Mary, FL, with the postal code 327467107.
What is the area of specialization for Tammy Tadom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tammy Tadom is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of expertise is 324500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982627352 to Tammy Tadom?
The Tammy Tadom received its 1982627352 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the Tammy Tadom's details last updated?
The information pertaining to the Tammy Tadom, including its address, specialty, and other details, was most recently updated on 2020-06-18.
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