Provider Demographics
NPI:1255131173
Name:TASSE NEUROPSYCHIATRIC CENTER LLC
Entity type:Organization
Organization Name:TASSE NEUROPSYCHIATRIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YORDANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TASSE DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-619-4954
Mailing Address - Street 1:15819 SW 99TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-6110
Mailing Address - Country:US
Mailing Address - Phone:786-619-4954
Mailing Address - Fax:
Practice Address - Street 1:333 17TH ST STE O
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5686
Practice Address - Country:US
Practice Address - Phone:786-619-4954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty