Victoria M Rabe-Tagala, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME 0028722 Issued in FL

Practice address

3885 S Florida Ave
Lakeland, FL 33813-1109

Phone

(863) 646-6608

Fax

(863) 644-0147

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Victoria Rabe-Tagala Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1558342170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131109",
            "telephone_number": "863-646-7754",
            "fax_number": "863-644-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131109",
            "telephone_number": "863-646-6608",
            "fax_number": "863-644-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABE-TAGALA",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME 0028722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066846000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "RABE-TAGALA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Milena Quiros
• Muhammad Raheel Qureshi, M.D.
• Musarrat N Qureshi, M.D.
• Zia Rab, MD
• Laura Maria Rabassa
• Amy Radano, OT
• Radical Hope
• Radical Wellness PLLC
• Radiology & Imaging Specialists of Lakeland
• Radiology & Imaging Specialists of Lakeland

• Physical Medicine & Rehabilitation Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.