Active NPI 1679763387 Individual Practitioner Male Practitioner

Dr. Michael Vincent Florendo Tablang , MD

Internal Medicine - Infectious Disease • Crestview, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Vincent Tablang, MD is a certified Internal Medicine - Infectious Disease practicing in Crestview, FL. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Tablang delivers high-quality medical care to the local community at 351 N FERDON BLVD.

Dr. Tablang is affiliated with Emerald Coast Infectious Diseases Medical Group, P.A. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, daptomycin, 1 mg, injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg, injection, omadacycline, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

351 N Ferdon Blvd

Crestview, FL 325362727

Telephone 5086239798

Fax 8508620605

Associated Practice Facility / Clinic

🏢 Emerald Coast Infectious Diseases Medical Group, P.a. Facility NPI 1649079351

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Infectious Disease in Crestview, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 27.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Crestview, FL (774 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tablang (28 Years) 28 Yrs

Crestview Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0878 Injection, daptomycin, 1 mg	483,712	36	$0.42	$0.06
J0872 Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg	258,187	19	$0.96	$0.28
J0121 Injection, omadacycline, 1 mg	39,300	49	$11.04	$3.66
J2406 Injection, oritavancin (kimyrsa), 10 mg	23,280	112	$124.20	$40.71
J1306 Injection, inclisiran, 1 mg	7,101	14	$24.11	$11.97
J0696 Injection, ceftriaxone sodium, per 250 mg	4,896	110	$12.00	$0.45
J0897 Injection, denosumab, 1 mg	3,960	43	$69.20	$25.70
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	2,032	208	$186.00	$58.84
J0692 Injection, cefepime hydrochloride, 500 mg	1,966	20	$3.85	$1.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,930	625	$363.00	$115.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,633	393	$384.29	$123.98
J1335 Injection, ertapenem sodium, 500 mg	1,548	60	$46.11	$11.38
Q4277 Woundplus membrane or e-graft, per square centimeter	1,340	14	$1800.49	$1738.19
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	873	145	$84.00	$26.64
11042 Removal of skin and tissue, 20.0 sq cm or less	729	134	$384.00	$123.50
J1201 Injection, cetirizine hydrochloride, 0.5 mg	535	25	$44.91	$14.66
99291 Critical care, first 30-74 minutes	516	150	$509.00	$208.65
96368 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion	481	25	$60.00	$18.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	456	215	$240.00	$77.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	451	374	$525.00	$169.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	311	76	$42.00	$21.95
96375 Injection of additional new drug or substance into vein	290	67	$51.00	$14.51
J1200 Injection, diphenhydramine hcl, up to 50 mg	195	47	$3.50	$0.81
97597 Removal of tissue from wound, 20.0 sq cm or less	178	53	$296.83	$94.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$501.00	$163.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	119	63	$36.95	$13.72
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	93	14	$60.00	$19.24
99213 Established patient office or other outpatient visit, typically 15 minutes	88	47	$270.78	$87.92
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	76	11	$465.00	$149.80
29580 Strapping, unna boot	73	19	$271.23	$69.03
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	70	11	$450.00	$148.46
96361 Hydration infusion into a vein	24	13	$39.00	$11.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$156.00	$51.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0878 Injection, daptomycin, 1 mg	566,961	49	$0.42	$0.05
J0121 Injection, omadacycline, 1 mg	103,601	123	$8.17	$3.57
J2406 Injection, oritavancin (kimyrsa), 10 mg	23,880	125	$109.29	$40.70
J0875 Injection, dalbavancin, 5 mg	3,600	11	$42.11	$14.95
J0692 Injection, cefepime hydrochloride, 500 mg	2,523	25	$4.12	$1.24
J0696 Injection, ceftriaxone sodium, per 250 mg	2,503	65	$12.00	$0.51
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	2,092	223	$176.99	$60.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,843	360	$352.08	$124.08
J1335 Injection, ertapenem sodium, 500 mg	1,808	82	$62.55	$13.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,714	612	$333.27	$117.36
J0897 Injection, denosumab, 1 mg	1,200	20	$69.20	$23.76
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	1,080	165	$82.92	$27.41
99291 Critical care, first 30-74 minutes	836	187	$509.00	$210.92
11042 Removal of skin and tissue, 20.0 sq cm or less	778	139	$362.07	$124.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	514	254	$188.87	$78.15
96368 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion	484	33	$54.71	$19.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	401	332	$490.24	$171.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	204	55	$42.00	$22.17
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	181	16	$288.55	$84.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$473.40	$162.77
97597 Removal of tissue from wound, 20.0 sq cm or less	149	57	$230.76	$96.16
J2405 Injection, ondansetron hydrochloride, per 1 mg	82	12	$0.25	$0.09
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	63	25	$114.19	$39.66
29580 Strapping, unna boot	63	15	$236.00	$64.95
99213 Established patient office or other outpatient visit, typically 15 minutes	48	35	$270.00	$87.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	30	$37.14	$13.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$474.18	$184.83
96375 Injection of additional new drug or substance into vein	31	16	$50.55	$14.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$427.52	$163.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$156.00	$50.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0878 Injection, daptomycin, 1 mg	1,039,510	86	$0.42	$0.05
J0121 Injection, omadacycline, 1 mg	75,310	68	$7.11	$3.16
J0875 Injection, dalbavancin, 5 mg	18,900	49	$29.41	$14.99
J2406 Injection, oritavancin (kimyrsa), 10 mg	13,200	72	$49.92	$41.33
J0696 Injection, ceftriaxone sodium, per 250 mg	6,140	118	$12.00	$0.50
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	2,766	210	$143.06	$64.20
J0692 Injection, cefepime hydrochloride, 500 mg	2,502	19	$5.03	$1.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,468	657	$166.80	$101.52
J1335 Injection, ertapenem sodium, 500 mg	1,838	66	$123.00	$19.14
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	1,436	160	$76.28	$29.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,408	439	$119.90	$70.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,299	312	$162.00	$125.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	661	534	$322.71	$197.24
96368 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion	650	37	$40.60	$18.79
11042 Removal of skin and tissue, 20.0 sq cm or less	603	113	$234.71	$126.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	182	132	$236.50	$172.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	171	52	$42.00	$22.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	160	160	$342.00	$196.35
97597 Removal of tissue from wound, 20.0 sq cm or less	144	54	$141.12	$100.23
99291 Critical care, first 30-74 minutes	88	32	$509.00	$218.67
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring	85	85	$701.00	$325.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$271.00	$163.11
J2405 Injection, ondansetron hydrochloride, per 1 mg	65	11	$0.25	$0.08
99213 Established patient office or other outpatient visit, typically 15 minutes	49	32	$102.84	$89.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	11	$37.14	$14.05
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	47	15	$86.00	$41.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$225.00	$135.89
96375 Injection of additional new drug or substance into vein	26	17	$50.34	$15.47
Q0222 Injection, bebtelovimab, 175 mg	23	23	$4790.00	$2346.12
96361 Hydration infusion into a vein	13	13	$29.00	$11.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0878 Injection, daptomycin, 1 mg	1,844,403	124	$0.32	$0.09
J0121 Injection, omadacycline, 1 mg	58,200	47	$7.11	$3.28
J0875 Injection, dalbavancin, 5 mg	50,400	114	$29.16	$15.57
J0696 Injection, ceftriaxone sodium, per 250 mg	13,359	148	$1.55	$0.54
J0291 Injection, plazomicin, 5 mg	6,540	11	$6.68	$3.05
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	3,718	222	$143.06	$70.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,692	641	$157.31	$103.28
J1335 Injection, ertapenem sodium, 500 mg	2,440	80	$113.12	$29.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,150	650	$110.53	$72.07
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	2,107	175	$76.28	$30.80
J0692 Injection, cefepime hydrochloride, 500 mg	1,791	22	$5.02	$1.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	976	315	$161.58	$129.10
96368 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion	952	48	$40.60	$20.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	673	575	$362.59	$201.13
11042 Removal of skin and tissue, 20.0 sq cm or less	443	93	$234.05	$127.19
99213 Established patient office or other outpatient visit, typically 15 minutes	234	145	$102.84	$90.83
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	95	15	$8.25	$1.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$271.00	$168.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	57	23	$42.00	$22.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$191.00	$112.81
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring	47	47	$600.00	$296.48
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring	38	38	$900.00	$428.82
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	38	11	$86.00	$42.27
97597 Removal of tissue from wound, 20.0 sq cm or less	35	11	$110.00	$96.24
96375 Injection of additional new drug or substance into vein	29	11	$50.34	$16.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$235.92	$181.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$225.00	$136.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0878 Injection, daptomycin, 1 mg	926,018	74	$1.79	$0.16
J0121 Injection, omadacycline, 1 mg	22,700	21	$7.11	$3.17
J0875 Injection, dalbavancin, 5 mg	22,653	51	$29.26	$15.16
J0696 Injection, ceftriaxone sodium, per 250 mg	8,091	98	$1.54	$0.59
J2185 Injection, meropenem, 100 mg	4,131	11	$2.68	$0.82
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	2,048	150	$143.06	$70.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,949	627	$110.50	$74.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,846	592	$157.28	$107.11
J0692 Injection, cefepime hydrochloride, 500 mg	1,374	19	$5.02	$1.81
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	1,206	108	$76.28	$30.78
J1335 Injection, ertapenem sodium, 500 mg	828	42	$113.09	$34.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	637	229	$161.75	$108.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	348	299	$313.00	$207.69
96368 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion	342	22	$40.60	$20.92
99213 Established patient office or other outpatient visit, typically 15 minutes	253	169	$102.84	$75.07
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	252	20	$8.25	$1.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	176	35	$68.00	$40.59
11042 Removal of skin and tissue, 20.0 sq cm or less	119	31	$234.32	$127.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$271.00	$165.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$191.00	$109.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,418	439	$112.05	$72.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	659	212	$162.65	$102.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	358	327	$315.46	$202.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	159	$156.68	$106.17
99213 Established patient office or other outpatient visit, typically 15 minutes	194	154	$101.62	$72.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	192	97	$68.70	$40.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	121	$223.22	$137.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$266.85	$159.60
36415 Insertion of needle into vein for collection of blood sample	41	29	$16.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$179.37	$106.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	13	$145.00	$76.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	12	$218.00	$107.11
G0010 Administration of hepatitis b vaccine	16	11	$21.00	$15.55
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	16	11	$98.50	$64.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,009	299	$167.00	$99.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	990	361	$117.00	$69.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	335	305	$321.22	$194.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	165	$145.00	$100.78
99213 Established patient office or other outpatient visit, typically 15 minutes	156	122	$98.00	$68.31
36415 Insertion of needle into vein for collection of blood sample	124	62	$16.00	$2.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	110	$217.00	$130.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	27	$74.75	$37.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	22	$218.00	$106.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	30	$218.00	$137.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$165.00	$99.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	21	$145.00	$75.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$253.50	$155.64
G0010 Administration of hepatitis b vaccine	22	17	$21.00	$19.07
71046 X-ray of chest, 2 views	22	18	$72.16	$16.45
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	22	17	$98.50	$63.66
G0008 Administration of influenza virus vaccine	16	16	$24.00	$19.07
90653 Vaccine for influenza for injection into muscle	16	16	$57.56	$53.31
G0009 Administration of pneumococcal vaccine	11	11	$26.50	$19.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,214	328	$117.00	$66.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	887	235	$167.00	$96.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	259	235	$321.29	$187.66
99213 Established patient office or other outpatient visit, typically 15 minutes	193	137	$98.00	$65.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	190	178	$217.00	$126.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	81	$145.00	$97.55
36415 Insertion of needle into vein for collection of blood sample	83	54	$16.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	26	$218.00	$98.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$165.00	$96.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	18	$218.00	$123.85
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$112.00	$67.90
G0008 Administration of influenza virus vaccine	13	13	$24.00	$23.43

Medical Specialties & State Licenses

CMS Verified: 2024-02-14

Internal Medicine - Infectious Disease Primary Specialty

NUCC Taxonomy Code: 207RI0200X

State License FL ME138845

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

116653900 (FL)

Hospital & Practice Group Affiliations

Emerald Coast Infectious Diseases Medical Group, P.a.

351 N Ferdon Blvd, Crestview, FL 325362727

Phone: 85086239792

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Scott Rojas , MD

Internal Medicine - Infectious Disease

NPI 1285609784

Doctor of Medicine (M.D.)

Dr. Anatoliy Korzhuk , MD

Internal Medicine - Pulmonary Disease

NPI 1669963500

Doctor of Medicine (M.D.)

Mario Gardner , APRN

Nurse Practitioner

NPI 1679117451

Advanced Practice Registered Nurse

Crystal Mcvay , ARNP

Nurse Practitioner - Adult Health

NPI 1710405519

Advanced Registered Nurse Practitioner

Dr. Christopher Abrasley , MD

Internal Medicine - Gastroenterology

NPI 1760505341

Doctor of Medicine (M.D.)

Dr. Twan Phanijphand , DO

Internal Medicine - Gastroenterology

NPI 1790806248

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location February 14, 2024

Registered at 351 N FERDON BLVD, CRESTVIEW, FL 325362727 (Tel: 5086239798)

📍

Updated Business Mailing Address February 14, 2024

Registered at 917 MAR WALT DR, FORT WALTON BEACH, FL 325476651 (Tel: 8508623979)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2024

Internal Medicine (License #ME138845 in FL)

✅

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2017

Registered at 901 SW GARFIELD AVE, TOPEKA, KS 666061670 (Tel: 7853549591)

📍

Updated Business Mailing Address February 06, 2017

Registered at 901 SW GARFIELD AVE, TOPEKA, KS 666061670 (Tel: 7853549591)

👤

Provider Name / Credentials Updated February 06, 2017

Recorded as MICHAEL VINCENT TABLANG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Internal Medicine (License #04-35511 in KS)

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NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 17, 2016

Registered at 901 SW GARFIELD AVE, TOPEKA, KS 666061670 (Tel: 7853549591)

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Updated Business Mailing Address May 17, 2016

Registered at 901 SW GARFIELD AVE, TOPEKA, KS 666061670 (Tel: 7853549591)

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Provider Name / Credentials Updated May 17, 2016

Recorded as MICHAEL VINCENT TABLANG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Internal Medicine (License #04-35511 in KS)

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Initial NPI Registration & Enumeration July 29, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679763387

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2007

Last Update: February 14, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

917 Mar Walt Dr

Fort Walton Beach, FL 325476651

Phone: 8508623979

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.