Individual
TAMICA S BESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3616 E 38TH AVE, TAMPA, FL 33610-7017
(813) 381-0433
Mailing address
3616 E 38TH AVE, TAMPA, FL 33610-7017
(813) 381-0433
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012600
—
FL
Enumeration date
11/10/2018
Last updated
11/10/2018
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