Provider Demographics
NPI:1487690657
Name:HABER, TANYA CVETKOVSKI (DO)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:CVETKOVSKI
Last Name:HABER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 N LAKEMONT AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3210
Mailing Address - Country:US
Mailing Address - Phone:407-588-8186
Mailing Address - Fax:407-588-8186
Practice Address - Street 1:401 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5750
Practice Address - Country:US
Practice Address - Phone:407-893-6225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8622207R00000X
FLOS8443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine