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Individual
DR. MAILY TARA CREAMER
Active
Individual
DR. MAILY TARA CREAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A9324
CA
207R00000X
Internal Medicine Physician
OS11017
FL
208000000X
Pediatrics Physician
20A9324
CA
208000000X
Pediatrics Physician
OS11017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002548900
—
FL
01
—
1494A
BCBSFL
FL
Enumeration date
05/17/2007
Last updated
06/26/2013
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