MEDICARE: DEBORAH TANGA APRN

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	2084P0802X	Addiction Psychiatry Physician	11021999	FL
2	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	RN9521889	FL
3	163W00000X	Registered Nurse	RN9521889	FL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11021999	FL

General Provider Information

NPI Number	:	1689217572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH TANGA APRN

Provider Business Mailing Address
First Line	:	1211 TECH BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:	813-450-0225
Fax Number	:	813-450-0535

Provider Business Practice Location Address
First Line	:	1211 TECH BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:	813-450-0225
Fax Number	:	813-450-0535

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

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	03/25/2026

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