Healthcare Provider Details

I. General information

NPI: 1831184746
Provider Name (Legal Business Name): DAVID SHIN-YIN TSAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8614 STATE ROAD 70 E STE 101
BRADENTON FL
34202-3710
US

IV. Provider business mailing address

8614 STATE ROAD 70 E STE 101
BRADENTON FL
34202-3710
US

V. Phone/Fax

Practice location:
  • Phone: 941-779-3334
  • Fax:
Mailing address:
  • Phone: 941-779-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME69390
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME69390
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME69390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: