Alyssa Tawil, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS23246 Issued in FL

Practice address

3101 University Blvd S Ste 200
Jacksonville, FL 32216-2753

Phone

(904) 760-4904

Fax

(904) 647-2481

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Alabama College of Osteopathic Medicine, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1801526173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 UNIVERSITY BLVD S STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162753",
            "telephone_number": "904-760-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 UNIVERSITY BLVD S STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162753",
            "telephone_number": "904-760-4904",
            "fax_number": "904-647-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWIL",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS23246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissette Taveras
• Jerry Tavornwattana
• Kristine Leigh Tavrisov, M.S. CCC-SLP
• Tavvy Speech Therapy Services LLC
• Reema Kamal Tawfiq, MD
• Patrick Tawil
• Rabih Tawk, MD
• Haulek Tawmging, ,DNP, ARNP, PMHNP-BC
• Pairot Tayapongsak, DMD
• Taygan Capital Holdings LLC

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.