Provider Demographics
NPI:1710969423
Name:TAMARGO, ROBI E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBI
Middle Name:E
Last Name:TAMARGO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13500 SUTTON PARK DR S STE 203
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-5291
Mailing Address - Country:US
Mailing Address - Phone:904-834-7138
Mailing Address - Fax:904-834-7139
Practice Address - Street 1:13500 SUTTON PARK DR S STE 203
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-5291
Practice Address - Country:US
Practice Address - Phone:904-834-7138
Practice Address - Fax:904-834-7139
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003233103TC0700X
FL8914103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical