Individual provider · Type 1 NPI

Lan Q. Ta, MD

Internal Medicine Physician · Melbourne, FL

NPI number 1760619563 Active

Practice location

1350 Hickory St
Melbourne, FL 32901-3224

Call (321) 434-1771 Map

Fax (321) 434-1775

Mailing address

36800 Winfield Ct
Grand Island, FL 32735-9131

Other practice locations

  • 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 · (225) 765-5864
  • 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 · (337) 470-2605
  • 6564 Fleur De Lis Drive #1, New Orleans, LA 70124-1001 · (321) 695-4395
  • 150 Reynoir St, Biloxi, MS 39530-4130 · (228) 392-7760

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000XME132166 (FL)
Internal Medicine Physician 207R00000X24008 (MS)
Hospitalist Physician 208M00000X205729 (LA)
Internal Medicine Physician 207R00000XMD205729 (LA)
Internal Medicine Physician Primary 207R00000XME132166 (FL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1760619563

Lan Q. Ta, MD's National Provider Identifier is 1760619563, issued on Jun 18, 2009. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Melbourne, FL. The record was last updated on Aug 19, 2026.