MEDICARE: ALCIDES TAPIA PA

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	363AS0400X	Surgical Physician Assistant	PA 9100755	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1568528271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALCIDES TAPIA PA

Provider Business Mailing Address
First Line	:	3100 W END AVE
Second Line	:	SUITE 800
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1320
Country	:	US
Telephone Number	:	615-345-5400
Fax Number	:	888-468-6511

Provider Business Practice Location Address
First Line	:	1600 SARNO RD
Second Line	:	SUITE 15
City	:	MELBOURNE
State	:	FL
Zip	:	32935-4938
Country	:	US
Telephone Number	:	800-348-4565
Fax Number	:	888-468-6511

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/19/2016

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Directions to “ ALCIDES TAPIA PA” Practice Location

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