MORGAN TANTILLO (NPI# 1184265902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184265902 |
| Entity Type | Individual |
| Full Name | MORGAN TANTILLO |
| Credential | PA-C |
| Practice Address |
2031 Palm Beach Lakes Blvd Ste 100 West Palm Beach FL 33409-6525 |
| Mailing Address |
2031 Palm Beach Lakes Blvd West Palm Beach FL 33409-6501 |
| Practice Telephone | 5616819808 |
| Mailing Telephone | 5616819808 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
1184265902 | FL | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9112634 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2031 PALM BEACH LAKES BLVD STE 100 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861893448 | Interventional Pain LLC | Specialist | 2031 Palm Beach Lakes Blvd Ste 100, West Palm Beach, FL 33409-6525 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639620826 | Kelli Ann Callahan | Physician Assistant | 625 N Flagler Dr Ste 100, West Palm Beach, FL 33401-4027 | 2016-10-22 |
| 1518229079 | First Care Family Resources | Physician Assistant | 3115 45th St, West Palm Beach, FL 33407-1915 | 2012-06-11 |
| 1164728093 | Tiphanie Alexandria Allonce | Physician Assistant | 4700 N Congress Ave Ste 201, West Palm Beach, FL 33407-3291 | 2011-02-10 |
| 1265688899 | Angela G Gonzalez | Physician Assistant | 1500 N. Dixie Highway, Suite 103, West Palm Beach, FL 33401 | 2008-08-14 |
| 1093260226 | Nicole Mayberry O'donnell | Physician Assistant | 901 45th Street, Kimmel Building, West Palm Beach, FL 33407 | 2016-08-17 |
| 1265805881 | Estefanie A Witteman | Physician Assistant | 1217 S Military Trl Ste C, West Palm Beach, FL 33415-4600 | 2015-11-04 |
| 1114397775 | Juliana Alvarez | Physician Assistant | 2070 S Military Trl, West Palm Beach, FL 33415-6409 | 2015-09-25 |
| 1942688825 | Nina L Thrasher | Physician Assistant | 901 45th Street, Kimmel Bldg, West Palm Beach, FL 33407 | 2015-05-12 |
| 1265841274 | Zenia Echeverria | Physician Assistant | 911 Village Blvd, Suite 807, West Palm Beach, FL 33409-1938 | 2014-08-05 |
| 1558782284 | Kelley Nugent | Physician Assistant | 2070 S Military Trl, West Palm Beach, FL 33415-6409 | 2013-12-24 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on MORGAN TANTILLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.