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Organization

TAMMY BIRBECK DO PLLC

Active
Other names
Gulf Women's Center for Health & Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY L BIRBECK DO (PRESIDENT)
(941) 681-2042
Entity
Organization

Contact information

Practice address
900 PINE ST STE 111A, ENGLEWOOD, FL 34223-4457
(941) 681-2042
(941) 208-5982
Mailing address
2061 ENGLEWOOD RD, SUITE 4, ENGLEWOOD, FL 34223-1749
(941) 408-3537

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS10000
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
JYT20
FLORIDA BLUE
FL
Enumeration date
02/17/2017
Last updated
11/09/2021
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