Provider Demographics
NPI:1225822091
Name:TAMAYO INFANTE, WILLIAMS (SURGICAL ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:WILLIAMS
Middle Name:
Last Name:TAMAYO INFANTE
Suffix:
Gender:
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4651 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3457
Mailing Address - Country:US
Mailing Address - Phone:954-986-6667
Mailing Address - Fax:954-983-6665
Practice Address - Street 1:4651 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3457
Practice Address - Country:US
Practice Address - Phone:954-986-6667
Practice Address - Fax:954-983-6665
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant