Pedro Antonio Tamargo, CSA
Specialist/Technologist, Other, Surgical Assistant in Miami, FL. Individual provider (NPI-1).
NPI number1114199809
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1114199809
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pedro Antonio Tamargo
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2008
- Certification date
- Dec 12, 2020
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | FL | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | SA00387 | TX | |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 08-120 | TX | |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | SA00387 | TX |
Practice location
3663 S Miami AveMiami, FL 33133-4253
Phone 305-854-4400
Mailing address
3 Maryland Farms Ste 200Brentwood, TN 37027-5780
Phone 800-348-4565 · Fax 888-203-4247
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