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Contact Information

TARA M RANDIS, MD
2 TAMPA GENERAL CIR
TAMPA, FL33606
 Phone: 813-974-2201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TARA M RANDIS · (Female)

NPI # 1346324563
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 10/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME140988
  • NY License # 231658
  • FL Medicaid 103878900
  • FL Other 37Y7L BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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