| Shiva Tajiani, PA-C | |
|
40215 Highway 27, Davenport, FL 33837-7813 | |
| (863) 421-9705 | |
| (863) 421-9779 |
| Full Name | Shiva Tajiani |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 40215 Highway 27, Davenport, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417729252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9116917 (Florida) | Primary |
| Entity Name | Florida Cancer Specialists & Research Institute, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Entity Name | Central Florida Orthopaedic Surgery Associates, P.L. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457458317 PECOS PAC ID: 0042203887 Enrollment ID: O20040406001770 |
| Mailing Address | Practice Location Address |
|---|---|
| Shiva Tajiani, PA-C Po Box 102222, Atlanta, GA 30368-2222 Ph: (392) 274-8200 | Shiva Tajiani, PA-C 40215 Highway 27, Davenport, FL 33837-7813 Ph: (863) 421-9705 |
Jose Antonio Molero, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 116 Foxtail Loop, Davenport, FL 33837 Phone: 321-986-9179 |
Kathryn Kuscavage, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Park Place Blvd Ste C, Davenport, FL 33837 Phone: 863-588-4775 Fax: 863-422-7664 |
Yolande Marie Eckrich, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2504 Sand Mine Rd, Davenport, FL 33897 Phone: 863-419-7645 |
Ms. Katelyn Przybyszewski, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 43378 Us 27, Suite A, Davenport, FL 33837 Phone: 863-282-2082 |
Roderick John Mckenzie, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 Web Drive Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 |
Alyssa San Diego, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2310 North Blvd W Ste A, Davenport, FL 33837 Phone: 813-701-5804 |
Mr. Artur Sikora, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4828 |