Active NPI
Tasscia Women'S Health & Cosmetic Gynecology
- Gynecology Physician
- Melbourne, FL
National Provider Identifier
1356259196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- TASSCIA WOMEN'S HEALTH & COSMETIC GYNECOLOGY
- Practice address
- 2795 W New Haven Ave
Melbourne, FL 32904-3705 - Phone
- (516) 662-2617
- NPI assigned
- Sep 1, 2026
- 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
- Tasscia Williams-Souffrant, MD, MPH
- Title
- Owner/Physician
- Phone
- (516) 662-2617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
2795 W New Haven Ave
Melbourne, FL 32904-3705
Mailing address
2795 W New Haven Ave
Melbourne, FL 32904-3705
Phone (516) 662-2617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1356259196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 W NEW HAVEN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329043705",
"telephone_number": "516-662-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 W NEW HAVEN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329043705",
"telephone_number": "516-662-2617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TASSCIA WOMEN'S HEALTH & COSMETIC GYNECOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS-SOUFFRANT",
"authorized_official_first_name": "TASSCIA",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "516-662-2617",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.