Provider Demographics
NPI:1457861080
Name:CUMMINGS, TAMIKA (ARNP)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:TAMIKA
Other - Middle Name:DENEE'
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:4631 N CONGRESS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3238
Mailing Address - Country:US
Mailing Address - Phone:561-530-1700
Mailing Address - Fax:561-863-2304
Practice Address - Street 1:4631 N CONGRESS AVE STE 102
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3238
Practice Address - Country:US
Practice Address - Phone:561-530-1700
Practice Address - Fax:561-863-2304
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9271512207Q00000X
FLARNP9271512363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine