| Tayla Mae Kavanaugh, PA-C | |
|
601 Main St, Dunedin, FL 34698-5848 | |
| (727) 733-1111 | |
| Not Available |
| Full Name | Tayla Mae Kavanaugh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 601 Main St, Dunedin, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013292424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9106206 (Florida) | Primary |
| Entity Name | Tenet Florida Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659417467 PECOS PAC ID: 0345349478 Enrollment ID: O20080129000575 |
| Entity Name | Coastline Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744769 PECOS PAC ID: 2466633821 Enrollment ID: O20110218000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Tayla Mae Kavanaugh, PA-C 430 3rd Ave S, Apartment #137, St Petersburg, FL 33701-4144 Ph: (716) 338-6949 | Tayla Mae Kavanaugh, PA-C 601 Main St, Dunedin, FL 34698-5848 Ph: (727) 733-1111 |
Mrs. Michelle Nichole Acosta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2375 Curlew Rd, Dunedin, FL 34698 Phone: 727-614-0600 |
Leah Yang Faucett, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 703 Virginia St, Dunedin, FL 34698 Phone: 727-734-4000 |
Raymond Daniel Hansen Iv, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1972 Bayshore Blvd, Dunedin, FL 34698 Phone: 727-736-2513 |
Mr. Christopher P Kelly, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 703 Virginia St, Dunedin, FL 34698 Phone: 727-734-4000 Fax: 727-738-5037 |
Benjamin Edward Love, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 125 Patricia Ave, Dunedin, FL 34698 Phone: 727-331-8740 Fax: 727-331-8744 |
Jessica Michelle Hood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2812 Saint Marks Dr, Dunedin, FL 34698 Phone: 727-328-4633 Fax: 727-328-4633 |
Alicia Londergan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 611 Main St., Dunedin, FL 34698 Phone: 727-733-1111 |