Provider Demographics
NPI:1225477094
Name:SEALY, TAMARA ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:ELIZABETH
Last Name:SEALY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38240 DAUGHTERY RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-1367
Mailing Address - Country:US
Mailing Address - Phone:813-788-3582
Mailing Address - Fax:
Practice Address - Street 1:38240 DAUGHTERY RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1367
Practice Address - Country:US
Practice Address - Phone:813-788-3582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN18615207Q00000X
GA074991207Q00000X
FLME155343207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine