MEDICARE: ELAINE MELISSA AQUINO M.D.

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	207R00000X	Internal Medicine Physician	72972	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629502513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE MELISSA AQUINO M.D.

Provider Business Mailing Address
First Line	:	5112 N HABANA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6873
Country	:	US
Telephone Number	:	813-374-2406
Fax Number	:	813-374-2407

Provider Business Practice Location Address
First Line	:	5112 N HABANA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6873
Country	:	US
Telephone Number	:	813-374-2406
Fax Number	:	813-374-2407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2017
Last Update Date	:	06/28/2024

Similar Medicare Providers

1871550483 — DR. PHILIP ATIGRE MD
Practice Location Address:

5112 N HABANA AVE
TAMPA, FL
33614-6873

Practice Phone: 813-374-2406
Practice Fax: 813-374-2407

1083735856 — DR. ERNESTO J MILLAN M.D.
Practice Location Address:

5110 N. HABANA AVE. , SUITE 1
TAMPA, FL
33614-6873

Practice Phone: 813-448-6755
Practice Fax: 813-304-2219

1528399276 — ACCORD MEDICAL GROUP,PLLC
Practice Location Address:

5112 N HABANA AVE
TAMPA, FL
33614-6873

Practice Phone: 813-374-2406
Practice Fax: 813-374-2407

1851638167 — ERNESTO J. MILLAN MD. PA.
Practice Location Address:

5110 N. HABANA AVE. SUITE #1
TAMPA, FL
33614-6873

Practice Phone: 813-448-6755
Practice Fax:

1902204399 — AVANTGARDE URGENT CARE, LLC
Practice Location Address:

5112 N HABANA AVE
TAMPA, FL
33614-6873

Practice Phone: 813-801-9111
Practice Fax: 813-801-9113

1821526393 — SHRIKA SHONTA DAVIS FNP
Practice Location Address:

5112 N HABANA AVE
TAMPA, FL
33614-6873

Practice Phone: 813-374-2406
Practice Fax:

Directions to “ ELAINE MELISSA AQUINO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.