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Individual

TAMARA R CLANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3635 S CLYDE MORRIS BLVD, SUITE 900, PORT ORANGE, FL 32129-2300
(386) 788-4263
(386) 788-0679
Mailing address
3635 S CLYDE MORRIS BLVD, SUITE 900, PORT ORANGE, FL 32129-2300
(386) 788-4263
(386) 788-0679

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME0065937
FL

Other

Enumeration date
05/23/2006
Last updated
06/29/2010
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