Provider Demographics
NPI:1679307516
Name:TAVARES GOUVEIA, ANA MARGARIDA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARGARIDA
Last Name:TAVARES GOUVEIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 SW 92ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7804
Mailing Address - Country:US
Mailing Address - Phone:786-832-4936
Mailing Address - Fax:
Practice Address - Street 1:14200 SW 92ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7804
Practice Address - Country:US
Practice Address - Phone:786-832-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT42268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist