Individual
EDMUNDO RAFAEL TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 NW 95TH ST, SUITE 107, MIAMI, FL 33150-2063
(305) 835-2797
(305) 835-6228
Mailing address
9037 BISCAYNE BOULEVARD, MIAMI, FL 33138-3221
(305) 835-2797
(305) 835-6228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379231500
—
FL
Enumeration date
09/21/2005
Last updated
08/03/2017
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