Healthcare Provider Details

I. General information

NPI: 1336340090
Provider Name (Legal Business Name): TAREN LEIGH OHMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 102ND AVE N
PINELLAS PARK FL
33782-2909
US

IV. Provider business mailing address

3050 1ST AVE S
ST PETERSBURG FL
33712-1010
US

V. Phone/Fax

Practice location:
  • Phone: 727-467-7423
  • Fax:
Mailing address:
  • Phone: 727-328-3260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME111508
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number067865
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME111508
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: