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

Rebecca J Tae, PA

Individual provider Physician Assistant · NPI 1740845817

Rebecca J Tae, PA is a Physician Assistant in Trinity, Florida. Qualified in 2018, 8 years ago. Practices with West Florida Cardiology Network, LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
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

9332 State Road 54 Ste 405
Trinity, FL 34655-1810
Phone: (727) 375-8264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117828 (FL)

Record details

NPI number1740845817
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 4, 2019
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice West Florida Cardiology Network, Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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