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

Rosanny Tavera

Individual provider Family Nurse Practitioner · NPI 1104660703

Rosanny Tavera is a Family Nurse Practitioner in Deland, Florida. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2024
Specialties on file
4

Practice location Address checks out

1287 Woodline Dr
Deland, FL 32720-6554
Phone: (407) 637-4846
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F356229-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 765301 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11031783 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9507718 (FL)

Record details

NPI number1104660703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2024
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address1287 Woodline Dr, Deland, FL 32720-6554

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