MEDICARE: EL AGATHE ASOPO TANYI ARNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9275188	FL
2	363L00000X	Nurse Practitioner	ARNP9275188	FL

General Provider Information

NPI Number	:	1548539588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EL AGATHE ASOPO TANYI ARNP

Provider Business Mailing Address
First Line	:	1747 FORT SMITH BLVD
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-3728
Country	:	US
Telephone Number	:	202-834-7722
Fax Number	:

Provider Business Practice Location Address
First Line	:	1747 FORT SMITH BLVD
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-3728
Country	:	US
Telephone Number	:	202-834-7722
Fax Number	:

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

Provider Enumeration Date	:	12/20/2011
Last Update Date	:	04/01/2025

Similar Medicare Providers

1750046363 — WELLNESSCLINIC ON WHEELS
Practice Location Address:

1747 FORT SMITH BLVD
DELTONA, FL
32725-3728

Practice Phone: 202-834-7722
Practice Fax:

1427917822 — JAMILE MARIE DOMINGUEZ
Practice Location Address:

1104 E LOMBARDY DR
DELTONA, FL
32725-6417

Practice Phone: 386-479-7750
Practice Fax:

1578294666 — PAUL D FULDAUER RD
Practice Location Address:

3300 E HALIFAX CROSSING BLVD
DELTONA, FL
32725-2911

Practice Phone: 386-425-6000
Practice Fax:

1134896400 — STEPHANIE ANN TROUT APRN
Practice Location Address:

734 ELKCAM BLVD
DELTONA, FL
32725-2626

Practice Phone: 386-532-8200
Practice Fax:

1770590853 — WALGREEN CO
Practice Location Address:

1700 N NORMANDY BLVD
DELTONA, FL
32725-4504

Practice Phone: 386-532-4048
Practice Fax:

1568320174 — FLORANGEL BETANCOURT RBT
Practice Location Address:

537 DELTONA BLVD
DELTONA, FL
32725-8017

Practice Phone: 904-878-8683
Practice Fax: 386-200-5752

Directions to “ EL AGATHE ASOPO TANYI ARNP” 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.