MEDICARE: TAPIHOUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1326709775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAPIHOUR

Provider Business Mailing Address
First Line	:	418 BLACK OAK LN
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-4897
Country	:	US
Telephone Number	:	386-871-0326
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 BLACK OAK LN
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-4897
Country	:	US
Telephone Number	:	386-871-0326
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CECILLE TAPIA SANTIAGO
Credential	:
Telephone Number	:	386-871-0326

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	01/07/2022

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