Provider Demographics
NPI:1518167378
Name:TWITTY, PAMELA D (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:D
Last Name:TWITTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 WEST VIRGINIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6328
Mailing Address - Country:US
Mailing Address - Phone:813-875-8032
Mailing Address - Fax:813-875-0227
Practice Address - Street 1:2716 WEST VIRGINIA AVENUE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6328
Practice Address - Country:US
Practice Address - Phone:813-875-8032
Practice Address - Fax:813-875-0227
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN9902207V00000X
FLME106668207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology