MEDICARE: GINA R TAMARGO NP

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
1	363L00000X	Nurse Practitioner	ARNP0981092	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881699544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA R TAMARGO NP

Provider Business Mailing Address
First Line	:	29901 US HIGHWAY 19 N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-1041
Country	:	US
Telephone Number	:	727-286-6203
Fax Number	:	727-286-6204

Provider Business Practice Location Address
First Line	:	29901 US HIGHWAY 19 N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-1041
Country	:	US
Telephone Number	:	727-286-6203
Fax Number	:	727-286-6204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	04/20/2016

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