Tavernaris, Michael E
Tavernaris, Michael E is an individual health care provider with primary practice located at 208 Mary Esther Blvd , Mary Esther FL 32569-1687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tavernaris, Michael E can be contacted via phone (850) 396-1110.Contact Information
Primary practice address
208 Mary Esther Blvd
Mary Esther FL 32569-1687
Phone: (850) 396-1110
Fax: (850) 466-0950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ME116308 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME116308 | Florida |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD31989 | Alabama |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD31989 | Alabama |
Profile Details
| NPI number | 1386888626 |
|---|---|
| LBN Legal business name | Tavernaris, Michael E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2009 |
| Last updated | Feb 17th, 2017 - about 8 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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