MEDICARE: DR. TANKUT ONAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0202X	Pediatric Cardiology Physician	ME90733	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285710855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANKUT ONAL MD

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-7490
Fax Number	:	239-343-4197

Provider Business Practice Location Address
First Line	:	16281 BASS RD STE 304
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-9687
Country	:	US
Telephone Number	:	239-343-7490
Fax Number	:	239-343-4197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	01/12/2022

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Directions to “ DR. TANKUT ONAL MD” Practice Location

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