Individual
DR. TAMARA VAN DE STAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH ST S, ST PETERSBURG, FL 33701-4630
(727) 767-4243
Mailing address
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT213804
PA
208M00000X
Hospitalist Physician
Primary
ME145197
FL
Other
Enumeration date
06/02/2017
Last updated
07/28/2021
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