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

Mavany Tant, PA

Individual provider Physician Assistant · NPI 1457724403

Mavany Tant, PA is a Physician Assistant in Orlando, Florida. Qualified in 2015, 11 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Florida.

Years since qualifying
11
Licensed in
CA, FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

32 W Gore St
Orlando, FL 32806-1134
Phone: (877) 876-3627
Fax: (321) 843-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9109290 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA53260 (CA)

Record details

NPI number1457724403
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 12, 2015
Last updated in NPPESAugust 28, 2019
Mailing address303 E Par St, Orlando, FL 32804-4003

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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