Rabe-Tagala, Victoria M

Rabe-Tagala, Victoria M is an sole proprietor health care provider with primary practice located at 3885 S Florida Ave , Lakeland FL 33813-1109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Rabe-Tagala, Victoria M can be contacted via phone (863) 646-6608.

Contact Information

Primary practice address
3885 S Florida Ave Lakeland FL 33813-1109
Phone: (863) 646-6608
Fax: (863) 644-0147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME 0028722 Florida

Profile Details

NPI number 1558342170
LBN Legal business name Rabe-Tagala, Victoria M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Feb 27th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558342170 NPPES
Florida MEDICAID 066846000

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