Victoria Rabe-Tagala, M.D., P.a.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME 0028722 Issued in FL

Legal business name

VICTORIA RABE-TAGALA, M.D., P.A.

Practice address

3885 S Florida Ave
Lakeland, FL 33813-1109

Phone

(863) 646-7754

Fax

(863) 644-0147

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Rabe-Tagala, M.D.

Title

Physician/Owner

Phone

(863) 646-7754

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1821195058",
    "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": "863-646-7754",
            "fax_number": "863-644-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA RABE-TAGALA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RABE-TAGALA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "863-646-7754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 0028722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FL",
            "identifier": "53591",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0668460000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "250005388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Vick, LAT, ATC, CSCS
• Charles Robert Vickers Jr., DC
• Jacqueline Patrice Vickers, MED
• Kelly Victor
• Raymond Michael Victor, MD
• Finah Vida, M.D.
• Vidales Dental Corp (shimmering dental)
• Matthew Vigliotta
• Cherlange Vil, APRN
• Ricardo Vilches, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.