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: 03/23/2025
Certification Date: 03/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3555
US

IV. Provider business mailing address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3555
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-7799
  • Fax:
Mailing address:
  • Phone: 941-917-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: