Active NPI
Taina Cancel, CST/CSFA
- Surgery Physician
- Brooksville, FL
National Provider Identifier
1225979321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 179087
- Practice address
- 17240 Cortez Blvd
Brooksville, FL 34601-8921 - Phone
- (352) 576-5200
- NPI assigned
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 179087 | FL | Primary |
Addresses
Primary practice location
17240 Cortez Blvd
Brooksville, FL 34601-8921
Mailing address
10246 Morningstar Ave
Brooksville, FL 34601-5138
Phone (352) 667-4805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179087 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1225979321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10246 MORNINGSTAR AVE",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346015138",
"telephone_number": "352-667-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17240 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346018921",
"telephone_number": "352-576-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANCEL",
"first_name": "TAINA",
"credential": "CST/CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "179087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.