Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 21309 | FL |
NPI | 1114386091 |
---|---|
Provider Name | Tamarra Sweeting |
First Address | Palmetto Bay, FL 33157-4569 |
Second Address | Palmetto Bay, FL 33157-4569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2016 |
Last Update Date | 19/02/2016 |