Individual
TAMMY TADOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
(407) 647-5431
Mailing address
525 TECHNOLOGY PARK, STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
(407) 647-5431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME78176
FL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
ME78176
FL
251S00000X
Community/Behavioral Health Agency
ME78176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117797800
—
FL
01
—
46926
BC/BS
FL
01
—
P000120957
RAILROAD MCR
FL
Enumeration date
07/25/2006
Last updated
03/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us