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Organization
RAUL E TAMAYO P L
Active
Organization
RAUL E TAMAYO P L
Active
Parent organization
RAUL E. TAMAYO, PL
Other names
ADULT MEDICINE SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAUL E. TAMAYO, PL
Authorized official
DR. RAUL E TAMAYO MD (MEDICAL DIRECTOR)
(407) 788-2273
Entity
Organization
Contact information
Practice address
280 WEKIVA SPRINGS RD, SUITE 1000, LONGWOOD, FL 32779-5946
(321) 460-5722
(407) 389-2273
Mailing address
280 WEKIVA SPRINGS RD, SUITE 1000, LONGWOOD, FL 32779-5946
(321) 460-5722
(407) 389-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0050911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
DR. TAMAYO SOCIAL SEC
FL
01
—
04355
DR TAMAYO BCBS INDIVIDUAL
FL
05
—
0601699100
—
FL
01
—
1265572028
GROUP NPI NUMBER
FL
01
—
1568437689
DR. TAMAYO NPI NUMBER
FL
01
—
72774
GROUP BCBS NUMBER
FL
Enumeration date
02/08/2007
Last updated
05/28/2020
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