| NPI Details | |
|---|---|
| NPI | 1972794394 |
| Gender | Female |
| Enumeration Date | 08/09/2007 |
| Last Updated | 08/29/2012 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 2009 MICCOSUKEE RD TALLAHASSEE FL, 32308-5359, US |
|
| Phone | (850) 942-2299 |
| Fax | (850) 942-0322 |
| Business Location | |
|---|---|
| 2009 MICCOSUKEE RD TALLAHASSEE FL, 32308-5359, US |
|
| Phone | (850) 942-2299 |
| Fax | (850) 942-0322 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207RI0200X |
| License State | Florida |
| License Number | OS11222 |
| Remove 1972794394 NPI Number | |
According to our database, Tameka Stacey-ann Funny D.O. NPI is 1972794394, taxonomy code is 207RI0200X and license number is OS11222, license state is located at Florida. Tameka Stacey-ann Funny D.O. physically located at 2009 Miccosukee Rd, Tallahassee FL, 32308-5359. NPI Number Tameka Stacey-ann Funny D.O. has the Individual type.
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1972794394 NPI number is provided on an as is basis without warranty of any kind. 1972794394 is maintained by the National Plan & Provider Enumeration System. The contents of Tameka Stacey-ann Funny D.O. are for informational purposes only.
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