Provider Demographics
NPI:1164625281
Name:BHATT, TAPAN P (DO)
Entity Type:Individual
Prefix:DR
First Name:TAPAN
Middle Name:P
Last Name:BHATT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 UNIVERSAL STUDIOS PLZ BLDG 3
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7601
Mailing Address - Country:US
Mailing Address - Phone:407-355-0803
Mailing Address - Fax:407-355-0432
Practice Address - Street 1:1000 UNIVERSAL STUDIOS PLZ BLDG 3
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7601
Practice Address - Country:US
Practice Address - Phone:407-355-0803
Practice Address - Fax:407-355-0432
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9928207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine