MAVANY TANT (NPI# 1457724403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457724403 |
| Entity Type | Individual |
| Full Name | MAVANY TANT |
| Other Name | MAVANY CAFFREY |
| Credential | PA |
| Practice Address |
32 W Gore St Orlando FL 32806-1134 |
| Mailing Address |
303 E Par St Orlando FL 32804-4003 |
| Practice Telephone | 8778763627 |
| Practice Fax Number | 3218434101 |
| Mailing Telephone | 8778763627 |
| Mailing Fax Number | 3218434101 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA53260 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109290 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021348500 | 05 | |
| CA | CA PA LICENSE | PA53260 | 01 |
| Street Address |
32 W GORE ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194715003 | Stephen J Rosenberg | Specialist | 32 W Gore St, Orlando, FL 32806-1134 | 2005-10-24 |
| 1194367649 | Brittany Harris | Nurse Practitioner | 32 W Gore St, Fl 3, Orlando, FL 32806-1134 | 2019-10-16 |
| 1851714067 | Karol Olafsson | Internal Medicine | 32 W Gore St, 5th Floor, Orlando, FL 32806-1134 | 2014-01-23 |
| 1952647109 | Tamika Selena Haynes Robinson | Psychologist | 32 W Gore St, Orlando, FL 32806-1134 | 2012-12-17 |
| 1811256324 | Andrew Jeremy Davidiuk | Urology | 32 W Gore St, Orlando, FL 32806-1134 | 2012-05-04 |
| 1740598762 | Kenia Rodriguez | Clinical Neuropsychologist | 32 W Gore St, Orlando, FL 32806-1134 | 2010-09-24 |
| 1396072385 | Robyn Jones Cohen | Clinical Neuropsychologist | 32 W Gore St, Orlando, FL 32806-1134 | 2009-11-11 |
| 1548595549 | Michael Brandon Lafleur | Physician Assistant | 32 W Gore St, Suite 511, Orlando, FL 32806-1134 | 2009-10-08 |
| 1457587420 | Carlos A Bayona | Nurse Practitioner | 32 W Gore St, 2nd Fl, Orlando, FL 32806-1134 | 2009-06-04 |
| 1154562940 | Maria M Coiro | Psychologist | 32 W Gore St, Orlando, FL 32806-1134 | 2009-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
| 1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
| 1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
| 1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
| 1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
| 1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
| 1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
| 1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
| 1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
| 1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
| Find all providers in ORLANDO | ||||
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| 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.