Laura Tait (NPI# 1043658636, PAC ID# 6800021353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1043658636 |
| PAC ID by PECOS | 6800021353 |
| Professional Enrollment ID | I20170802002649 |
| Full Name | Laura Tait |
| Organization Legal Name | PACIFICA CARE PLLC |
| Address |
25097 E Olympia Ave Suite 200 Punta Gorda FL 33950-3914 |
| Phone Number | 9413478447 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | NEUROPSYCHIATRY |
| Group Practice PAC ID | 7911184692 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 | 9042212232 | PACIFICA CARE PLLC |
| 25097 E Olympia Ave, Suite 200, Punta Gorda, FL 33950-3914 | 9413478447 | PACIFICA CARE PLLC |
| Organization Legal Name | PACIFICA CARE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delia Glisette Toledo | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| Atul M Shah | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| Street Address |
25097 E OLYMPIA AVE SUITE 200 |
| City | PUNTA GORDA |
| State | FL |
| Zip | 33950-3914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd B Lang | Optometry | Todd B Lang Od Pa | 314 N Tamiami Tr, Suite 112, Punta Gorda, FL 33950 |
| Anne K Wharton | Nurse Practitioner | 450 Shreve St, Punta Gorda, FL 33950-3325 | |
| Joyce A Grace Leichliter | Chiropractic | 119 Taylor St, Punta Gorda, FL 33950-3654 | |
| Khaled A Temraz | Physical Therapy | 522 E Marion Ave, Punta Gorda, FL 33950-3803 | |
| Timothy A Janz | Internal Medicine | 522 E Marion Ave, Suite 201, Punta Gorda, FL 33950-3803 | |
| Kathleen M Auld | Physical Therapy | Kamipractics Inc | 522 E Marion Ave, Punta Gorda, FL 33950-3803 |
| Paul M Popper | Cardiovascular Disease (cardiology) | Paul M Popper Md Pa | 809 E Marion St, Punta Gorda, FL 33950-3819 |
| Stuart N Greenberg | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Chandra R Parsley | Nurse Practitioner | Florida Em-i Medical Services, Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Lawrence R Bachle | Emergency Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Find all physicians in zip 33950 | |||
| City | PUNTA GORDA |
| Zip Code | 33950 |
| Specialty | PSYCHIATRY |
| City + Specialty | PUNTA GORDA + PSYCHIATRY |
Please comment or provide details below to improve the information on Laura Tait.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.