Healthcare Provider Details

I. General information

NPI: 1871382325
Provider Name (Legal Business Name): TAMRI NICOLE HAMPTON DAOM, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 GAY RD UNIT 19
WINTER PARK FL
32789-3074
US

IV. Provider business mailing address

2370 ADDALIA ALY
ORLANDO FL
32804-4758
US

V. Phone/Fax

Practice location:
  • Phone: 407-443-7791
  • Fax:
Mailing address:
  • Phone: 407-443-7791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP4653
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: