MEDICARE: JOVANIE SERGE KEUSSEU TANKEU MD, MS, MPH, MBA, CH

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	207Q00000X	Family Medicine Physician	ME158173	FL

General Provider Information

NPI Number	:	1326661083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOVANIE SERGE KEUSSEU TANKEU MD, MS, MPH, MBA, CH

Provider Business Mailing Address
First Line	:	14131 METROPOLIS AVE STE 106
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4455
Country	:	US
Telephone Number	:	239-561-8880
Fax Number	:

Provider Business Practice Location Address
First Line	:	13141 METROPOLIS AVENUE
Second Line	:	SUITE 106
City	:	FORT MYERS
State	:	FL
Zip	:	33912
Country	:	US
Telephone Number	:	239-561-8880
Fax Number	:	617-362-2906

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

Provider Enumeration Date	:	05/28/2020
Last Update Date	:	01/26/2026

Similar Medicare Providers

1972452670 — AMANDA VASIL
Practice Location Address:

6900 DANIELS PKWY STE 36
FORT MYERS, FL
33912-1587

Practice Phone: 239-936-4404
Practice Fax:

1972806339 — JACLYN WISE PA-C
Practice Location Address:

9617 GULF RESEARCH LN
FORT MYERS, FL
33912-4560

Practice Phone: 239-418-0999
Practice Fax: 239-418-0091

1477882223 — ANA TAVERAS PANTALEON M.D
Practice Location Address:

14560 HOPE CENTER LOOP
FORT MYERS, FL
33912-4711

Practice Phone: 239-939-1099
Practice Fax: 239-939-1070

1487523627 — MARISSA MACEY GOSSELIN
Practice Location Address:

13685 DOCTORS WAY STE 100
FORT MYERS, FL
33912-4337

Practice Phone: 239-343-1612
Practice Fax: 239-343-4229

1326352550 — ZENERGY PHYSICAL THERAPY LLC
Practice Location Address:

8981 DANIELS CENTER DR STE 203
FORT MYERS, FL
33912-0307

Practice Phone: 239-362-1485
Practice Fax: 239-822-6609

1518046945 — PATRICK LS WONG PT, DPT
Practice Location Address:

8981 DANIELS CENTER DR STE 203
FORT MYERS, FL
33912-0307

Practice Phone: 239-362-1485
Practice Fax: 239-822-6609

Directions to “ JOVANIE SERGE KEUSSEU TANKEU MD, MS, MPH, MBA, CH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.