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Individual

TAMARA WILSON CISNERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1741 E NINE MILE RD STE 5, PENSACOLA, FL 32514-5478
(850) 462-9387
(850) 462-9389
Mailing address
71 CALLE SANTA CRUZ APT 7A, BAYAMON, PR 00961-6926
(585) 472-1766

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
023999
PR
208D00000X
General Practice Physician
Primary
ACN1676
FL

Other

Enumeration date
11/14/2016
Last updated
03/18/2025
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