Individual
MS. TAMARA DISMUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11716 JACKSON LANDING PLACE, TAMPA, FL 33624
(813) 816-1780
Mailing address
PO BOX 320401, 1002B S CHURCH AVE, TAMPA, FL 33629-9998
(813) 816-1780
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
11/11/2015
Last updated
09/06/2023
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