Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25907 | MS |
N | 111NI0900X | Internist | 25907 | MS |
Y | 207R00000X | Internist | ME 126801 | FL |
Y | 111NI0900X | Internist | ME 126801 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME126801 | FL |
NPI | 1396087698 |
---|---|
Provider Name | Mrs. Pamela Nicole Tambini |
First Address | West Palm Beach, FL 33410-6506 |
Second Address | Riviera Beach, FL 33410-7417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 22/07/2021 |