TAMMY TADOM, MD, Addiction Medicine LAKE MARY, FL

Contact Information

TAMMY TADOM, MD

525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746-7107

Phone: 407-647-2346
Fax: 407-647-5431
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction Medicine	2083A0300X	84	Physician/Preventive Medicine
Community/Behavioral Health	251S00000X
Emergency Medicine	207P00000X	93	Physician/Emergency Medicine

Indicates primary specialty

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NPI Profile & details for TAMMY TADOM · (Female)

NPI #	`1982627352`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/25/2006
Last updated	03/20/2024 - About 2 years ago
Sole proprietor ¹	Yes
Identifiers	FL License # ME78176 FL Medicaid 117797800 FL Other 46926 BC/BS FL Other P000120957 RAILROAD MCR
Hospital affiliation(s)	FLORIDA HOSPITAL - (Acute Care) 601 E ROLLINS ST ORLANDO, FL 32803

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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