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

Tatiana Victorovna Ansimova, PA

Individual provider Physician Assistant · NPI 1962349498

Tatiana Victorovna Ansimova, PA is a Physician Assistant in Sunny Isles Beach, Florida. Practices as a sole proprietor. Licensed in Florida and Puerto Rico.

Licensed in
FL, PR
In the registry since
2026
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

17720 N Bay Rd Apt 6A
Sunny Isles Beach, FL 33160-2806
Phone: (267) 916-3989
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 25-285 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 3077 (PR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3077 (PR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3077 (PR)

Record details

NPI number1962349498
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

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