Tamara Threlkeld Pistoria
DO | Pediatrics | Female
Tamara Threlkeld Pistoria, DO is a Lakeland, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tamara Threlkeld Pistoria is
1033 N Parkway Frontage Rd, Lakeland, Florida - 33803-0401. She can be contacted on phone at
863-647-8011 and fax number 863-647-8029.
Tamara Threlkeld Pistoria is a sole proprietor of her business.
NPI number (Unique professional ID) for Tamara Threlkeld Pistoria is
1932107158 which was assigned by NPPES on 12 Jul, 2005 and it was last updated on 26 Jun, 2012.
Tamara Threlkeld Pistoria license number is
OS0008614 for Pediatrics (208000000X) in Florida.
Tamara Threlkeld Pistoria is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tamara Threlkeld Pistoria basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Tamara Threlkeld Pistoria |
|---|
| Credential : | DO |
|---|
| Gender : | Female |
|---|
Business Address:
Tamara Threlkeld Pistoria address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1033 N Parkway Frontage Rd
Lakeland, FL, 33803-0401
United States |
|---|
| Phone Number : | 863-647-8011 |
|---|
| Fax Number : | 863-647-8029 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932107158 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 12 Jul, 2005 |
|---|
| Last Updated On : | 26 Jun, 2012 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tamara Threlkeld Pistoria are as mentioned. Primary taxonomy code for Tamara Threlkeld Pistoria, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | OS0008614 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Tamara Threlkeld Pistoria such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 264246800 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 95004
Lakeland, FL, 33804-5004
United States |
|---|
| Phone Number : | 863-680-7000 |
|---|
| Fax Number : | 863-680-7420 |
|---|
Business Location:
Patients can refer following map for directions to
Tamara Threlkeld Pistoria practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.