Active NPI
Angel E Tafur MD PA
- Family Medicine Physician
- The Villages, FL
National Provider Identifier
1205928512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0073896
- Legal business name
- ANGEL E TAFUR MD PA
- Practice address
- 1503 Buenos Aires Blvd
Building 160
The Villages, FL 32159-6821 - Phone
- (352) 350-6241
- Fax
- (352) 350-6241
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angel E Tafur, MD
- Title
- Physician/Owner
- Phone
- (352) 350-6241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0073896 | FL | Primary |
Addresses
Primary practice location
1503 Buenos Aires Blvd
Building 160
The Villages, FL 32159-6821
Mailing address
1503 Buenos Aires Blvd
Building 160
The Villages, FL 32159-6821
Phone (352) 350-6241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051107000331 | FL | Part B Supplier - Clinic/Group Practice | 1850319062 |
Receives reassigned benefits from 1 practitioner Practice locations: The Villages, FL |
National Provider Directory
National Provider DirectoryLocations
10969 SE 175th Pl
Ste 100
Summerfield, FL 34491
Phone (352) 347-0363
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Panama City Beach, FL
- NPI 1760890131
Family Medicine, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1205928512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 BUENOS AIRES BLVD",
"address_2": "BUILDING 160",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596821",
"telephone_number": "352-350-6241",
"fax_number": "352-350-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 BUENOS AIRES BLVD",
"address_2": "BUILDING 160",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596821",
"telephone_number": "352-350-6241",
"fax_number": "352-350-6241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL E TAFUR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "TAFUR",
"authorized_official_first_name": "ANGEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "352-350-6241",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0073896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.