Tatiana Victorovna Ansimova, P.A.
Individual provider Active NPI Surgical Assistant · Sunny Isles Beach, FL
NPI 1962349498 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1962349498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 25-285 (FL)
- Practice address
- 17720 N Bay Rd Apt 6a
Sunny Isles Beach, FL 33160-2806 - Phone
- (267) 916-3989
- NPI assigned
- May 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3077 | PR | MD | Speech-Language Pathologist |
| 25-285 | FL | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3077 | PR | |
| Medical Physician Assistant | 363AM0700X | 3077 | PR | |
| Surgical Physician Assistant | 363AS0400X | 3077 | PR | |
| Surgical Assistant | 246ZC0007X | 25-285 | FL | Yes |
Addresses
Primary practice location
17720 N Bay Rd Apt 6a
Sunny Isles Beach, FL 33160-2806
Mailing address
17720 N Bay Rd Apt 6a
Sunny Isles Beach, FL 33160-2806
Phone (267) 916-3989
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- Alden Rene Alvarez
- Julieta Soledad Alvarez
- Antonina'S TLC, Inc.
- Arcoiris Behaivor Services LLC
- Yana Armani
- Alison Aslaender
- Jasmine Auerbach
All providers in Sunny Isles Beach, FL · Surgical Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.