Healthcare Provider Details

I. General information

NPI: 1154315778
Provider Name (Legal Business Name): ANDREW STEVEN TAUSSIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 OCOEE APOPKA RD STE 120
APOPKA FL
32703-9210
US

IV. Provider business mailing address

2100 OCOEE APOPKA RD STE 120
APOPKA FL
32703-9210
US

V. Phone/Fax

Practice location:
  • Phone: 407-889-1930
  • Fax: 407-889-1904
Mailing address:
  • Phone: 407-889-1930
  • Fax: 407-889-1904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME44365
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME44365
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: