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

Dr. Michael E Tavernaris, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1386888626

Dr. Michael E Tavernaris, MD is a Family Practice in Fort Walton Beach, Florida. Qualified in 2008, 18 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Alabama and Florida.

Years since qualifying
18
Licensed in
AL, FL
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1817 Lewis Turner Blvd Ste F
Fort Walton Beach, FL 32547-1349
Phone: (850) 396-1110
Fax: (850) 466-0950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME116308 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence ME116308 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence MD31989 (AL)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD31989 (AL)

Record details

NPI number1386888626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2009
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address208 Mary Esther Blvd, Mary Esther, FL 32569-1687

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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