Individual
NOOR S TAMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1273
(407) 303-5600
Mailing address
415 E PINE ST APT 824, ORLANDO, FL 32801-6619
(813) 610-5239
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9384556
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11001972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
12/28/2018
Last updated
03/27/2020
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