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

Jose Tavarez, MD

Individual provider Pediatrics Physician · NPI 1396083630

Jose Tavarez, MD is a Pediatric Medicine in Lakewood Ranch, Florida. Qualified in 2006, 20 years ago. Practices with Smh Physician Services Inc, a 774-clinician group and accepts Medicare assignment. Licensed in Florida and Mississippi.

Years since qualifying
20
Licensed in
FL, MS
In the registry since
2013
Specialties on file
2
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

8430 Enterprise Cir Ste 130
Lakewood Ranch, FL 34202-4111
Phone: (941) 366-3000
Fax: (941) 366-3002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME130063 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 22828 (MS)

Record details

NPI number1396083630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 22, 2013
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 863407, Orlando, FL 32886-3407

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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