Active NPI
Tamara L. Gmitter, MD PA
- Dermatology Physician
- Boca Raton, FL
National Provider Identifier
1710201546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME0056717
- Legal business name
- TAMARA L. GMITTER, MD PA
- Practice address
- 2900 N Military TRL
Suite 110
Boca Raton, FL 33431-6365 - Phone
- (561) 362-0510
- Fax
- (561) 362-1199
- NPI assigned
- Mar 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara L Gmitter, M.D.
- Title
- Owner
- Phone
- (561) 362-0510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME0056717 | FL | Primary |
| Procedural Dermatology Physician | 207NS0135X | ME0056717 | FL |
Addresses
Primary practice location
2900 N Military TRL
Suite 110
Boca Raton, FL 33431-6365
Mailing address
2900 N Military TRL
Suite 110
Boca Raton, FL 33431-6365
Phone (561) 362-0510
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1710201546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL",
"address_2": "SUITE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316365",
"telephone_number": "561-362-0510",
"fax_number": "561-362-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL",
"address_2": "SUITE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316365",
"telephone_number": "561-362-0510",
"fax_number": "561-362-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMARA L. GMITTER, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "GMITTER",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-362-0510",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "FL",
"license": "ME0056717",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME0056717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.