Provider Demographics
NPI:1144057522
Name:TAPANES COMPLETE CARE INC
Entity type:Organization
Organization Name:TAPANES COMPLETE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOARLI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPANES
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:954-732-7927
Mailing Address - Street 1:7950 NW 53RD ST STE 337
Mailing Address - Street 2:#1047
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4791
Mailing Address - Country:US
Mailing Address - Phone:954-732-7927
Mailing Address - Fax:305-402-7924
Practice Address - Street 1:7950 NW 53RD ST STE 337
Practice Address - Street 2:#1047
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4791
Practice Address - Country:US
Practice Address - Phone:954-732-7927
Practice Address - Fax:305-402-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty