Healthcare Provider Details

I. General information

NPI: 1164260816
Provider Name (Legal Business Name): OSCAR UMPIERRE TENDERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 N JOHN YOUNG PKWY STE B
KISSIMMEE FL
34741-3214
US

IV. Provider business mailing address

4200 W CYPRESS ST STE 690
TAMPA FL
33607-4112
US

V. Phone/Fax

Practice location:
  • Phone: 813-499-1500
  • Fax: 813-499-1499
Mailing address:
  • Phone: 813-499-1500
  • Fax: 813-499-1499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1747
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: