Individual
MRS. TATIANA WELLENS PICOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM, PHD
Contact information
Practice address
101 6TH ST NW, WINTER HAVEN, FL 33881-4630
(863) 299-4551
(863) 299-2310
Mailing address
101 6TH ST NW, WINTER HAVEN, FL 33881-4630
(863) 299-4551
(863) 299-2310
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65624
BCBS PROVIDER#
FL
01
—
7741073
AETNA PROVIDER #
FL
01
—
PO2760
FLORIDA LICENSE NUMBER
FL
Enumeration date
01/11/2006
Last updated
09/25/2023
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