Provider Demographics
NPI:1437280369
Name:TURBAY, TANIA (DPM)
Entity type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:
Last Name:TURBAY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:TANIA
Other - Middle Name:
Other - Last Name:TURBAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:7575 SW 62ND AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4955
Mailing Address - Country:US
Mailing Address - Phone:305-447-6688
Mailing Address - Fax:305-447-6588
Practice Address - Street 1:7575 SW 62ND AVE
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4955
Practice Address - Country:US
Practice Address - Phone:305-447-6688
Practice Address - Fax:305-447-6588
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP03027174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU97236Medicare UPIN