MEDICARE: TAKAKO KIKUCHI

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	363L00000X	Nurse Practitioner	11006735	FL

General Provider Information

NPI Number	:	1720754062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAKAKO KIKUCHI

Provider Business Mailing Address
First Line	:	11724 RAINTREE LAKE LN APT B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-9431
Country	:	US
Telephone Number	:	813-210-3729
Fax Number	:

Provider Business Practice Location Address
First Line	:	11724 RAINTREE LAKE LN APT B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-9431
Country	:	US
Telephone Number	:	813-210-3729
Fax Number	:

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

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	08/17/2021

Similar Medicare Providers

1629521125 — MRS. AMBER R REGAL LMHC, CAP, CCTP
Practice Location Address:

6009 GIBSON AVE
TAMPA, FL
33617-1327

Practice Phone: 813-863-1585
Practice Fax:

1578000360 — VALERIE WOODSON
Practice Location Address:

6917 N 53RD ST
TAMPA, FL
33617-8703

Practice Phone: 813-951-5468
Practice Fax:

1720648959 — VINUTHA NARAYAN RATTEHALLI DMD
Practice Location Address:

6216 E SLIGH AVE
TAMPA, FL
33617-9105

Practice Phone: 813-866-0930
Practice Fax:

1154263945 — LIFE SENIOR HOME CARE CORP
Practice Location Address:

13361 N 56TH ST STE G
TAMPA, FL
33617-1161

Practice Phone: 813-733-4173
Practice Fax: 813-733-4051

1285634667 — DR. DANIEL E. BUFFINGTON PHARMD, MBA
Practice Location Address:

6285 E FOWLER AVE
TAMPA, FL
33617-3304

Practice Phone: 813-983-1500
Practice Fax: 813-983-1501

1174517718 — SANJA COSIC MD
Practice Location Address:

5001 E BUSCH BLVD
TAMPA, FL
33617-5303

Practice Phone: 813-984-8846
Practice Fax: 813-988-8827

Directions to “ TAKAKO KIKUCHI ” 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.