Individual
JORGE MA TAMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, A GNP C
Contact information
Practice address
716 S GOLDENROD RD, ORLANDO, FL 32822-8108
(415) 934-4556
Mailing address
5363 RAGUSA LOOP, SAINT CLOUD, FL 34771-8045
(410) 814-9302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
864562
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11027934
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11027934
FL
Other
Enumeration date
01/25/2016
Last updated
02/19/2024
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