Nicole E Tafuri, D.O.
Individual provider Active NPI Family Medicine Physician · Patrick Afb, FL
NPI 1184069494 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1184069494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02004316A (IN)
- Practice address
- 1381 S Patrick Dr
Patrick Afb, FL 32925-3606 - Phone
- (850) 559-9557
- NPI assigned
- May 1, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191210001117 | FL | Order and Referring Only - Family Practice |
9335572155 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 02004316A | IN | |
| Family Medicine Physician | 207Q00000X | 02004316A | IN | Yes |
Addresses
Primary practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Mailing address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone (321) 494-8251
Other providers in Patrick Afb, FL
- Leonard Wesley Schubring
- Ananda Selvaraj
- Travis M Sloan
- William Alexander Steele
- Richard Warren Sumrall
- Zanett M Thomas
- Adeline Thompson
- Susan T Thompson
- Dawn Nicole Tipton
- Denise Torres Garcia
All providers in Patrick Afb, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.