Organization
LISA C TUMARKIN, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CINDY TUMARKIN M.D. (PHYSICIAN)
(352) 333-5405
Entity
Organization
Contact information
Practice address
6440 W NEWBERRY RD, SUITE 405, GAINESVILLE, FL 32605-4381
(352) 333-5405
(352) 333-5407
Mailing address
6440 W NEWBERRY RD, SUITE 405, GAINESVILLE, FL 32605-4381
(352) 333-5405
(352) 333-5407
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0042098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0042098
MEDICAL LICENSE
FL
Enumeration date
01/29/2015
Last updated
01/29/2015
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