Healthcare Provider Details

I. General information

NPI: 1952369944
Provider Name (Legal Business Name): LUIS A. TAMARA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5831 BEE RIDGE RD SUITE 210
SARASOTA FL
34233-5088
US

IV. Provider business mailing address

5831 BEE RIDGE RD SUITE 210
SARASOTA FL
34233-5088
US

V. Phone/Fax

Practice location:
  • Phone: 941-379-8481
  • Fax: 941-379-3781
Mailing address:
  • Phone: 941-379-8481
  • Fax: 941-379-3781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberME95786
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME95786
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: