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

Tatjana Blazin, MD

Individual provider Internal Medicine Physician · NPI 1083359152

Tatjana Blazin, MD is an Internal Medicine in Davenport, Florida. Qualified in 2019, 7 years ago. Practices with Ridgewood Physician Services, LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
7
Licensed in
FL, MI
In the registry since
2022
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

40100 US 27
Davenport, FL 33837
Phone: (863) 422-4971
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME171245 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4351049284 (MI)

Record details

NPI number1083359152
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2022
Last updated in NPPESJune 12, 2025
Certification dateMay 24, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ridgewood Physician Services, Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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