Individual
DR. JEREMY TAMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13778 PLANTATION RD, FORT MYERS, FL 33912-4301
(239) 343-0454
(239) 343-1075
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0454
(239) 343-1075
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
04-32928
KS
208200000X
Plastic Surgery Physician
Primary
ME122042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015497900
—
FL
01
—
3434
FAMILY NUMBER
KS
Enumeration date
08/12/2008
Last updated
03/30/2021
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