Juan A. Amador Tavarez, M.D.
Family Medicine in New Port Richey, FL. Individual provider (NPI-1).
NPI number1063456028
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1063456028
- Entity type
- Individual (NPI-1)
- Name
- Juan A. Amador Tavarez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2006
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME132750 | FL | Yes |
| 207Q00000X | Family Medicine | 14474 | PR |
Practice location
8501 Little RdNew Port Richey, FL 34654-4924
Phone 727-869-7755 · Fax 727-869-7372
Mailing address
8501 Little RdNew Port Richey, FL 34654-4924
Phone 727-869-7755 · Fax 727-869-7372
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