Individual
TAMRA RENAE ASSUMPCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
(352) 527-8818
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 563-0931
(352) 527-8818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAX00006908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001847600
—
FL
Enumeration date
03/27/2008
Last updated
10/19/2021
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