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NPI Code Detail

MEDICARE: TATYANA FAYNBERG DO

MEDICARE: TATYANA FAYNBERG DO
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
1208600000XSurgery PhysicianOT014216PA
2208600000XSurgery PhysicianOS14294FL

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 : 1679866537
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATYANA FAYNBERG DO
Provider Business Mailing Address
First Line : 18038 JAVA ISLE DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-2708
Country : US
Telephone Number : 727-637-3281
Fax Number :
Provider Business Practice Location Address
First Line : 3601 SW 160TH AVE STE 250
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-6314
Country : US
Telephone Number : 954-399-4645
Fax Number : 855-855-2792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2011
Last Update Date : 06/26/2026

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Directions to “ TATYANA FAYNBERG DO” Practice Location

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