Provider Demographics
NPI:1003577172
Name:TAMAMES, RINAT RENE (FNP)
Entity Type:Individual
Prefix:
First Name:RINAT
Middle Name:RENE
Last Name:TAMAMES
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19112 SUNLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-4928
Mailing Address - Country:US
Mailing Address - Phone:786-227-7641
Mailing Address - Fax:
Practice Address - Street 1:19112 SUNLAKE BLVD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-4928
Practice Address - Country:US
Practice Address - Phone:786-227-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-31
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty