Tammy Nicole Thaggert
Family Doctor - Adult Medicine
2902 17th St
Saint Cloud
, Florida 34769-6009
Tammy Nicole Thaggert
Family Doctor - Adult Medicine
2902 17th St
Saint Cloud
, Florida 34769-6009
(407) 957-1113
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Tammy Nicole Thaggert
- 2902 17th St
- Saint Cloud, FL
- Zip : 34769-6009
- Fax : (407) 957-1113
- Phone : (407) 957-0090
Second Address
- Tammy Nicole Thaggert
- 2902 17th St
- Saint Cloud, FL
- Zip : 34769-6009
- Fax : (407) 957-1113
- Phone : (407) 957-0090
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 82524 | FL |
National Provider Identifier
| NPI | 1174534770 |
|---|---|
| Provider Name | Tammy Nicole Thaggert |
| First Address | Saint Cloud, FL 34769-6009 |
| Second Address | Saint Cloud, FL 34769-6009 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 02/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 276196300 | (05) | FL |
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.