MRS. TAMARA MICHELLE WOOD PA-C
NPI 1508154956
Physician Assistant in Williston, FL

Q: What is Tamara Wood's NPI number?

The NPI number for Tamara Wood is 1508154956. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Tamara Wood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tamara Wood was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2011

630 N MAIN ST, WILLISTON, FL 32696(352) 528-0587(352) 463-2726 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Tamara Michelle Wood Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMARA MICHELLE WOOD PA-C (NPI 1508154956) is an individual physician assistant in Williston, Florida, licensed in Florida (PA 9106033) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1508154956

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. TAMARA MICHELLE WOODCredential: PA-C

Location Address630 N MAIN STWilliston, FL 32696-1705

Mailing Address911 S Main StTrenton, FL 32693-3239 · (352) 463-2374 · Fax (352) 463-4507

Phone(352) 528-0587

Fax(352) 463-2726

Sole ProprietorNo

Enumeration DateJuly 19, 2011

Last NPPES UpdateFebruary 8, 2012

✔ NPI 1508154956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA 9106033

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

630 N MAIN ST, Williston, FL 32696

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Other Identifiers 2

Medicare OSCAR/certificationFM253ZFL

Medicaid003937900FL

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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