Individual
TAMITHA R VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 45TH ST, WEST PALM BEACH, FL 33407-2047
(561) 548-5000
Mailing address
4504 TRAILSIDE LOOP, CASTLE ROCK, CO 80109-8701
(303) 903-1613
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036172265
IL
207L00000X
Anesthesiology Physician
44283
CO
207L00000X
Anesthesiology Physician
Primary
ME174300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08007829
—
CO
Enumeration date
08/21/2006
Last updated
08/04/2025
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