IndividualActive
Tatjana Velikopoljski, PA-C
NPI 1083242457 · Physician Assistant · Coral Gables, FL
Provider details
- NPI number
- 1083242457
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9113027 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5955 Ponce De Leon Blvd
Coral Gables, FL 33146-2423
Phone: (305) 661-1515
Fax: (305) 662-3723
Approximate (ZIP-level) locationGet directions
Mailing address
8340 Sw 62nd Ave
South Miami, FL 33143-8056
Registry dates
- Enumerated
- 2020-03-31
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.