Healthcare Provider Details

I. General information

NPI: 1275729857
Provider Name (Legal Business Name): ANA M TAMAYO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2472 N UNIVERSITY DR
PEMBROKE PINES FL
33024-3624
US

IV. Provider business mailing address

2472 N UNIVERSITY DR
PEMBROKE PINES FL
33024-3624
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-1300
  • Fax: 954-431-6855
Mailing address:
  • Phone: 954-436-1300
  • Fax: 954-431-6855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME38278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: