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

Dr. Tanya Itani Taival, DOLLC

Individual provider Obstetrics & Gynecology Physician · NPI 1689787848

Dr. Tanya Itani Taival, DOLLC is an Obstetrics/Gynecology in Titusville, Florida. Qualified in 2000, 26 years ago. Practices with North Brevard Medical Support Inc, a 62-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Licensed in
FL
In the registry since
2006

Practice location Address checks out

875 Century Medical Dr
Titusville, FL 32796-2142
Phone: (321) 269-0748
Fax: (321) 383-2424
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence OS 9527 (FL)

Record details

NPI number1689787848
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOLLC
Sole proprietorYes
NPI enumeratedAugust 15, 2006
Last updated in NPPESOctober 31, 2012

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice North Brevard Medical Support Inc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Titusville