Michael Tavernaris, M.D

NPI 1386888626 · on the registry since 2009

Practice

Address: 1817 Lewis Turner Blvd Ste F
Fort Walton Beach, FL 32547
Phone: (850) 396-1110
Fax: (850) 466-0950
Organisation at this address: Leva Neuroscience Llc
Coastline Medical Services Pllc
Origin Psychiatry And Wellness Llc
Center For Neuropsychological Services Cns
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207QS0010X
207QS0010X
207Q00000X
Licence states on file: FL, AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida