Provider Demographics
NPI:1003281122
Name:MCNAMEE, TOBIN
Entity Type:Individual
Prefix:
First Name:TOBIN
Middle Name:
Last Name:MCNAMEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10712 AYRSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2633
Mailing Address - Country:US
Mailing Address - Phone:813-230-8103
Mailing Address - Fax:813-749-0244
Practice Address - Street 1:10712 AYRSHIRE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-2633
Practice Address - Country:US
Practice Address - Phone:813-230-8103
Practice Address - Fax:813-749-0244
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBC#1259096171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications