Tamara Pistoria D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OF0008614 Issued in FL

Legal business name

TAMARA PISTORIA D.O.

Practice address

400 Avenue K SE
Ste 5
Winter Haven, FL 33880-4146

Phone

(863) 293-3909

NPI assigned

May 23, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Pistoria, D.O.

Title

Owner

Phone

(863) 293-3909

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619187473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "STE 5",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804146",
            "telephone_number": "863-293-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "STE 5",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804146",
            "telephone_number": "863-293-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA PISTORIA D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PISTORIA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-293-3909",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OF0008614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264246800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taha Med PLLC
• Taha Med PLLC
• Oneeb Tahir, DO
• Zaheed Tai, D.O.
• Majestic Tam, MD
• Tampa Obstetrics, PA
• Christopher V Tan, PHYSICAL THERAPIST
• Ayssel Tanbari, MD
• Mary Tang, M.D.
• Queen Tarver, RN

• Pediatrics Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.