Individual
TAMARA L. DENSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
446 TAMIAMI TRL S, 2ND FLOOR, VENICE, FL 34285-2625
(941) 483-3319
(941) 483-3406
Mailing address
446 TAMIAMI TRL S, 2ND FLOOR, VENICE, FL 34285-2625
(941) 483-3319
(941) 483-3406
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME75341
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME75341
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
ME75341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25603480
—
FL
Enumeration date
11/15/2005
Last updated
06/11/2010
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