AGUSTIN R TAVARES (NPI# 1588636393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588636393 |
| Entity Type | Individual |
| Full Name | AGUSTIN R TAVARES |
| Credential | MD |
| Practice Address |
1033 N Parkway Frontage Rd Lakeland FL 33803 |
| Mailing Address |
1600 Lakeland Hills Blvd Lakeland FL 33805-3019 |
| Practice Telephone | 8636807190 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8662642519 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME80714 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1033 N PARKWAY FRONTAGE RD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107158 | Tamara Threlkeld Pistoria | Pediatrics | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2005-07-12 |
| 1811432461 | Emily Beriswill | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2017-01-05 |
| 1497137780 | Erica Ford | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2015-06-23 |
| 1992104152 | Laura Dixon | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2014-08-13 |
| 1396169132 | Georgette Farmer | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2014-02-14 |
| 1811139215 | Jarett Aldon Gregory | Internal Medicine | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2009-03-31 |
| 1639353410 | Jean M Kanidis | Nurse Practitioner | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2007-12-28 |
| 1437348497 | Catherine Browning Marcum | Dermatology | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2007-10-16 |
| 1124166574 | Watson Clinic LLP | Allergy & Immunology | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2007-02-01 |
| 1902969074 | Allan G Wells | Emergency Medicine | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681129 | Christine Kor-aronski | Internal Medicine | 6568 Highlands In The Woods Blvd, Lakeland, FL 33813-3807 | 2020-05-19 |
| 1790323665 | Lopez Garcia Md Pa | Internal Medicine | 2022 Emerald Ridge Dr, Lakeland, FL 33813-5224 | 2019-12-11 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1528406725 | Paul Eude Saint-fleur | Internal Medicine | 1114 S Florida Ave, Lakeland, FL 33803-1308 | 2013-06-10 |
| 1114361839 | Alexandra Marie Ristow | Internal Medicine | 4715 S Florida Ave # 200, Lakeland, FL 33813-2101 | 2013-04-24 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255650636 | E & M Medical Group Pa | Internal Medicine | 4730 Exploration Ave, Lakeland, FL 33812-3319 | 2010-05-24 |
| 1740511120 | South Florida Medical Clinic Inc. | Internal Medicine | 3129 S Florida Ave, Lakeland, FL 33803-4563 | 2010-01-25 |
| 1770812372 | Maria Solina Napiza Oconer | Internal Medicine | 5135 Us Highway 98 N, Lakeland, FL 33809-0514 | 2009-12-10 |
| 1588893994 | Yatin Kheti | Internal Medicine | Lakeland Regional Health, 3030 Harden Blvd, Lakeland, FL 33803 | 2009-07-07 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on AGUSTIN R TAVARES.
| 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.