# ERTAMAYO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528489200
- **Authorized official:** OMARA TAMAYO (PRESIDENT)
- **Authorized official phone:** (305) 835-2797

## Contact information

- **Practice address:** 9037 BISCAYNE BLVD, MIAMI SHORES, FL 33138-3221
- **Practice address phone:** (305) 835-2797
- **Mailing address:** 9037 BISCAYNE BLVD, MIAMI SHORES, FL 33138-3221
- **Mailing address phone:** (305) 835-2797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME67715 | FL | Yes |

## Other

- **Enumeration date:** 12/23/2013
- **Last updated:** 12/30/2013