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

Dr. Lan Q Ta, MD

Individual provider Hospitalist Physician · NPI 1760619563

Dr. Lan Q Ta, MD is an Internal Medicine in Melbourne, Florida. Qualified in 2008, 18 years ago. Works from 6 locations. Licensed in Florida, Louisiana and Mississippi.

Years since qualifying
18
Licensed in
FL, LA, MS
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1350 Hickory St
Melbourne, FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 — (225) 765-5864
  • 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 — (337) 470-2605
  • 6564 Fleur De Lis Drive #1, New Orleans, LA 70124-1001 — (321) 695-4395
  • 100 Chesterfield Business Pkwy Fl 2, Chesterfield, MO 63005-1271 — (203) 666-8145
  • 150 Reynoir St, Biloxi, MS 39530-4130 — (228) 392-7760

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME132166 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence ME132166 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 24008 (MS)
Hospitalist Physician Taxonomy 208M00000X · Licence 205729 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD205729 (LA)

Record details

NPI number1760619563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address36800 Winfield Ct, Grand Island, FL 32735-9131

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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