Organization
ERTAMAYO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMARA TAMAYO (PRESIDENT)
(305) 835-2797
Entity
Organization
Contact information
Practice address
9037 BISCAYNE BLVD, MIAMI SHORES, FL 33138-3221
(305) 835-2797
Mailing address
9037 BISCAYNE BLVD, MIAMI SHORES, FL 33138-3221
(305) 835-2797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67715
FL
Other
Enumeration date
12/23/2013
Last updated
12/30/2013
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