Tamara R Clancy
Orthopaedic Hand Surgeon
3635 S Clyde Morris Blvd Suite 900
Port Orange
, Florida 32129-2300
Tamara R Clancy
Orthopaedic Hand Surgeon
3635 S Clyde Morris Blvd Suite 900
Port Orange
, Florida 32129-2300
(386) 788-0679
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About
Features
Specialties
- Orthopaedic Hand Surgeon
Languages spoken
- English
Location
First Address
- Tamara R Clancy
- 3635 S Clyde Morris Blvd Suite 900
- Port Orange, FL
- Zip : 32129-2300
- Fax : (386) 788-0679
- Phone : (386) 788-4263
Second Address
- Tamara R Clancy
- 3635 S Clyde Morris Blvd Suite 900
- Port Orange, FL
- Zip : 32129-2300
- Fax : (386) 788-0679
- Phone : (386) 788-4263
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0106X | Orthopaedic Hand Surgeon | ME0065937 | FL |
National Provider Identifier
| NPI | 1003861923 |
|---|---|
| Provider Name | Tamara R Clancy |
| First Address | Port Orange, FL 32129-2300 |
| Second Address | Port Orange, FL 32129-2300 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 29/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E45732 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.