MEDICARE: AVIATOR MEDICAL GROUP PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	207Q00000X	Family Medicine Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1073496584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVIATOR MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	8270 WOODLAND CENTER BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2401
Country	:	US
Telephone Number	:	650-761-9189
Fax Number	:

Provider Business Practice Location Address
First Line	:	8270 WOODLAND CENTER BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-2401
Country	:	US
Telephone Number	:	612-715-7891
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY RAPAPORT
Credential	:
Telephone Number	:	650-761-9189

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	01/29/2026

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Directions to “AVIATOR MEDICAL GROUP PA ” Practice Location

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