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NPI Code Detail

MEDICARE: MS. HILAH TANEV PA-C

MEDICARE: MS. HILAH TANEV PA-C
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
1363A00000XPhysician Assistant015546-1NY

Other Identifiers

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

General Provider Information

NPI Number : 1407113657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HILAH TANEV PA-C
Provider Business Mailing Address
First Line : 995 NE 170TH ST APT 205
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-2558
Country : US
Telephone Number : 214-636-3427
Fax Number :
Provider Business Practice Location Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 954-659-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2012
Last Update Date : 02/12/2026

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Directions to “ MS. HILAH TANEV PA-C” Practice Location

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