Healthcare Provider Details

I. General information

NPI: 1649677261
Provider Name (Legal Business Name): TAMMARA SAND LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 11/01/2026
Certification Date: 11/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3295 NE 49TH ST
OCALA FL
34479-1876
US

IV. Provider business mailing address

3295 NE 49TH ST
OCALA FL
34479-1876
US

V. Phone/Fax

Practice location:
  • Phone: 352-327-8652
  • Fax:
Mailing address:
  • Phone: 352-327-8652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW22663
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number680109562
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: