Search › Florida › 207R00000X
Lan Ta, M.D
NPI 1760619563 · on the registry since 2009
Practice
- Address
- 1350 Hickory St
Melbourne, FL 32901 - Phone
- (321) 434-1771
- Fax
- (321) 434-1775
- Organisation at this address
- Health First, Inc
Nextgen Pathology
Brevard Hyperbarics Llc
Ob Hospitalist Group Llc
Ob Hospitalist Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 318
Additional practice sites
- 150 Reynoir St, Biloxi, MS
- 6564 Fleur De Lis Drive #1, New Orleans, LA
- 4801 Ambassador Caffery Pkwy, Lafayette, LA
- 7777 Hennessy Blvd Ste 701, Baton Rouge, LA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
207R00000X
208M00000X
207R00000X - Licence states on file
- FL, MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-19
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