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Provider Information for 1316119514

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

TAMRA RENAE ASSUMPCAO P.A.-C

Gender: FEMALE

Individual NPI: 1316119514

Calendar   Last Updated:  2013-01-07
  Certification Date: 

Details

Name Value
NPI 1316119514
Enumeration Date 2008-03-27
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1990 N PROSPECT AVE
LECANTO, FL 34461-9792
United States

Phone: 352-527-6888 | Fax: 352-527-8818
View Map External Link
Primary Practice Address 1990 N PROSPECT AVE
LECANTO, FL 34461-9792
United States

Phone: 352-527-6888 | Fax: 352-527-8818
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363AM0700X - Physician Assistant Medical FL PAX00006908