Individual
TAMMY TADOM
Active
Individual
TAMMY TADOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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