Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley L. Tavalaiccio, AA

Individual provider Anesthesiologist Assistant · NPI 1194158295

Ashley L. Tavalaiccio, AA is an Anesthesiology Assistant in Tampa, Florida. Qualified in 2013, 13 years ago. Practices with Sunshine State Anesthesia Partners LLC, a 433-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
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Practice location Address checks out

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone: (813) 350-7244
Fax: (813) 350-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA171 (FL)

Record details

NPI number1194158295
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedAugust 13, 2013
Last updated in NPPESNovember 30, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Sunshine State Anesthesia Partners Llc — 433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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