NPIMap

Organization Active NPI

Tanya Itani Taival DO LLC

  • Obstetrics & Gynecology Physician
  • Titusville, FL
National Provider Identifier
1003083601
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TANYA ITANI TAIVAL DO LLC
Practice address
875 Century Medical Dr
Titusville, FL 32796-2142
Phone
(321) 269-0748
Fax
(321) 383-2424
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tanya Itani Taival, D.O.
Title
Provider
Phone
(321) 269-0748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

875 Century Medical Dr
Titusville, FL 32796-2142

Mailing address

875 Century Medical Dr
Titusville, FL 32796-2142
Phone (321) 269-0748

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1003083601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962142",
            "telephone_number": "321-269-0748",
            "fax_number": "321-383-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962142",
            "telephone_number": "321-269-0748",
            "fax_number": "321-383-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA ITANI TAIVAL DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "TAIVAL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "ITANI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "321-269-0748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.