MEDICARE: JUAN ANTONIO GAYTAN APRN FNP

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	363LF0000X	Family Nurse Practitioner	11019927	FL

General Provider Information

NPI Number	:	1073244034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN ANTONIO GAYTAN APRN FNP

Provider Business Mailing Address
First Line	:	3274 FOX LAKE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1439
Country	:	US
Telephone Number	:	504-202-8440
Fax Number	:

Provider Business Practice Location Address
First Line	:	7555 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1511
Country	:	US
Telephone Number	:	855-226-6633
Fax Number	:

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

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	12/05/2022

Similar Medicare Providers

1659767515 — TRADELINE SH INC
Practice Location Address:

7543 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 813-886-2800
Practice Fax: 813-886-2822

1306474010 — JORGE ENRIQUE CASTILLO MOLINA
Practice Location Address:

7555 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 855-226-6633
Practice Fax:

1184211955 — JESSICA MARIE ROSADO
Practice Location Address:

7555 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 855-226-6633
Practice Fax:

1437739844 — MARY GERGES RPH
Practice Location Address:

7543 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 813-886-2800
Practice Fax:

1477207447 — TRADELINE SH INC
Practice Location Address:

7543 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 813-886-2800
Practice Fax:

1447905625 — ANDRES MISAEL PEREZ PECORA
Practice Location Address:

7555 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 954-432-0578
Practice Fax:

Directions to “ JUAN ANTONIO GAYTAN APRN FNP” 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.