Healthcare Provider Details

I. General information

NPI: 1285888396
Provider Name (Legal Business Name): YAMILET TIRADO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2008
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2814 W VIRGINIA AVE
TAMPA FL
33607-6330
US

IV. Provider business mailing address

1800 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG FL
33704-4222
US

V. Phone/Fax

Practice location:
  • Phone: 813-262-1330
  • Fax:
Mailing address:
  • Phone: 727-865-4288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberME109551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: