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NPI Code Detail

MEDICARE: NOOR S TAMARI CRNA

MEDICARE:   NOOR S TAMARI  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered NurseRN9384556FL
2367500000XCertified Registered Nurse AnesthetistAPRN11001972FL

Other Identifiers

General Provider Information

NPI Number : 1114499316
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOOR S TAMARI CRNA
Provider Business Mailing Address
First Line : 415 E PINE ST APT 824
Second Line :
City : ORLANDO
State : FL
Zip : 32801-6619
Country : US
Telephone Number : 813-610-5239
Fax Number :
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1273
Country : US
Telephone Number : 407-303-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2018
Last Update Date : 03/27/2020

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Directions to “ NOOR S TAMARI CRNA” Practice Location

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