Individual
DIANE CAROL TAMASOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2111 W SWANN AVE, SUITEN102, TAMPA, FL 33606-2477
(813) 254-7227
(813) 253-0285
Mailing address
1918 PELICAN LANDING BLVD, APT 1115, CLEARWATER, FL 33762-5552
(941) 587-4887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207RH0003X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3150272
ARNP
FL
Enumeration date
03/31/2007
Last updated
12/18/2007
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