NPI: 1003361767 · FORT WALTON BEACH, FL 32547 · Sports Medicine (Family Medicine) Physician · NPI assigned 08/23/2016
| Authorized Official | TAVERNARIS, MICHAEL (PHYSICIAN) |
| NPI Enumeration Date | 08/23/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $1K |
| 2019 | 787 | $32K |
| 2020 | 1,211 | $50K |
| 2021 | 816 | $35K |