Provider Demographics
NPI:1972834802
Name:KYRON C. TAMAR, M.D., P.A.
Entity Type:Organization
Organization Name:KYRON C. TAMAR, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYRON
Authorized Official - Middle Name:COLLIN
Authorized Official - Last Name:TAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-933-9666
Mailing Address - Street 1:3000 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4680
Mailing Address - Country:US
Mailing Address - Phone:813-933-9666
Mailing Address - Fax:813-932-9229
Practice Address - Street 1:3000 MEDICAL PARK DR
Practice Address - Street 2:SUITE 400
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4680
Practice Address - Country:US
Practice Address - Phone:813-933-9666
Practice Address - Fax:813-932-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 104440208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty