Provider Demographics
NPI:1609027390
Name:FORBES, TARIN AMANDA (DO)
Entity Type:Individual
Prefix:DR
First Name:TARIN
Middle Name:AMANDA
Last Name:FORBES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 743409
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3409
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:727-532-1325
Practice Address - Street 1:560 JACKSON ST N
Practice Address - Street 2:SUITE 302
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1449
Practice Address - Country:US
Practice Address - Phone:727-865-9640
Practice Address - Fax:727-895-9692
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO1500207Q00000X
FLOS10655207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001099500Medicaid
FLCO658YMedicare PIN