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Tammy Small, LDO

NPI 1003508748 · on the registry since 2023 · sole proprietor

Practice

Address
10991 San Jose Blvd Ste 1
Jacksonville, FL 32223
Phone
(904) 260-2719
Fax
(904) 260-8878
Organisation at this address
Mc Medical Llc
Wh Fl Dental Pllc
David & Associates
First Coast Fs, Llc
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida