Individual
IVAN TAPANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
529 NW 59TH AVE, MIAMI, FL 33126-3133
(786) 360-9406
Mailing address
529 NW 59TH AVE, MIAMI, FL 33126-3133
(786) 360-9406
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2693
PR
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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