Organization
VICTORIA RABE-TAGALA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA RABE-TAGALA M.D. (PHYSICIAN/OWNER)
(863) 646-7754
Entity
Organization
Contact information
Practice address
3885 S FLORIDA AVE, LAKELAND, FL 33813-1109
(863) 646-7754
(863) 644-0147
Mailing address
3885 S FLORIDA AVE, LAKELAND, FL 33813-1109
(863) 646-7754
(863) 644-0147
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME 0028722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668460000
—
FL
01
—
250005388
RAILROAD MC
—
01
—
53591
BC FL
FL
Enumeration date
09/20/2006
Last updated
06/21/2018
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