Tammy Services
Exclusive Provider Organization in Lake Worth, FL. Organization (NPI-2).
NPI number1295282978
StatusActive
Last updated in NPPESSep 9, 2016
Details
- NPI
- 1295282978
- Entity type
- Organization (NPI-2)
- Legal business name
- Tammy Services
- Organization subpart
- Yes
- Enumeration date
- Sep 9, 2016
- Last updated
- Sep 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 20866 | FL | Yes |
Practice location
3070 Congress Park Dr Apt 722Lake Worth, FL 33461-5263
Phone 561-255-6675
Mailing address
3070 Congress Park Dr Apt 722Lake Worth, FL 33461-5263
Phone 863-212-4777 · Fax 863-453-3201
Authorized official
Tamara Jean Pierre
Ceo
8632124777
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