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

Staci L Tanouye, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1679739775

Staci L Tanouye, MD is an Obstetrics/Gynecology in Jacksonville Beach, Florida. Graduated from Saint Louis University School of Medicine in 2008, 18 years ago. Practices with Womens Care Florida LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
18
Trained at
Saint Louis University School of Medicine
Licensed in
FL, MN
In the registry since
2008
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

1361 13th Ave S Ste &110&115
Jacksonville Beach, FL 32250-3233
Phone: (904) 247-5514
Fax: (904) 247-3363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME117299 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 52096 (MN)

Record details

NPI number1679739775
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2008
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing addressPo Box 748817, Atlanta, GA 30374-8817

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Womens Care Florida Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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