Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tammy Kaliko Willingham, Inc

Organization Exclusive Provider Organization · NPI 1265668511

Tammy Kaliko Willingham, Inc is an Exclusive Provider Organization in Indialantic, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

151 Terrace Shores Dr
Indialantic, FL 32903-2705
Phone: (321) 984-2789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence SA8192 (FL)

Record details

NPI number1265668511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Willingham — President · (321) 984-2789
NPI enumeratedJune 1, 2009
Last updated in NPPESJune 1, 2009
Mailing address151 Terrace Shores Dr, Indialantic, FL 32903-2705

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