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

Dr. Tavenner Tathen Dibert, MD

Individual provider Pediatric Cardiology Physician · NPI 1649627381

Dr. Tavenner Tathen Dibert, MD is a Pediatric Medicine in Gainesville, Florida. Graduated from University of Florida College of Medicine in 2019, 7 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2016
Specialties on file
3
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

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 273-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence ME140590 (FL)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence ME140590 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME140590 (FL)

Record details

NPI number1649627381
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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