Tara Rangsiyawaranon
Tara Rangsiyawaranon is a Physician Assistant in Tampa, Florida. Qualified in 2025, 1 year ago. Licensed in Florida.
- Years since qualifying
- 1
- Licensed in
- FL
- In the registry since
- 2025
Practice location Address checks out
12902 Usf Magnolia DrTampa, FL 33612-9416
Phone: (813) 745-4673
Fax: (813) 449-8618
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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 PA9121307 (FL) |
|---|
Record details
| NPI number | 1821972001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 1, 2025 |
| Last updated in NPPES | June 23, 2026 |
| Certification date | June 23, 2026 |
| Mailing address | Po Box 198441, Atlanta, GA 30384-8441 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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