Healthcare Provider Details
I. General information
NPI: 1457500886
Provider Name (Legal Business Name): TAMERA D GARLAND NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/10/2008
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 SW 1ST AVE
OCALA FL
34471-6504
US
IV. Provider business mailing address
2501 N ORANGE AVE STE 446
ORLANDO FL
32804-4644
US
V. Phone/Fax
- Phone: 407-303-2528
- Fax:
- Phone: 813-467-4242
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LN0005X |
| Taxonomy | Critical Care Neonatal Nurse Practitioner |
| License Number | 10131075A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LN0000X |
| Taxonomy | Neonatal Nurse Practitioner |
| License Number | APRN11007638 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: