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NPI Code Detail

MEDICARE: TAMARA TAITT LMFT, LM

MEDICARE:   TAMARA  TAITT  LMFT, LM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwifeMW365FL
2374J00000XDoula
3106H00000XMarriage & Family TherapistMT3049FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MW365OTHERFLCOUNCIL OF LICENSED MIDWIFERY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467837948
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA TAITT LMFT, LM
Provider Business Mailing Address
First Line : 16821 NE 6TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-2405
Country : US
Telephone Number : 917-309-1618
Fax Number :
Provider Business Practice Location Address
First Line : 16821 NE 6TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-2405
Country : US
Telephone Number : 786-953-5417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2015
Last Update Date : 01/10/2019

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Directions to “ TAMARA TAITT LMFT, LM” Practice Location

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