Provider Demographics
NPI:1255987855
Name:ZENOBI, TAMMY RENEE (RRT)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:RENEE
Last Name:ZENOBI
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1903 49TH AVENUE DR E UNIT A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-3794
Mailing Address - Country:US
Mailing Address - Phone:941-600-7589
Mailing Address - Fax:
Practice Address - Street 1:4736 LAGO VISTA DR
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4930
Practice Address - Country:US
Practice Address - Phone:727-394-4662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-11
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16041227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered