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NPI Code Detail

MEDICARE: DR. MICHEL ANGE TANIS PHARMD.

MEDICARE: DR. MICHEL ANGE TANIS PHARMD.
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
1183500000XPharmacistPS0040600FL

General Provider Information

NPI Number : 1538437587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHEL ANGE TANIS PHARMD.
Provider Business Mailing Address
First Line : PO BOX 590367
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33359-0367
Country : US
Telephone Number : 850-322-3750
Fax Number : 305-320-1304
Provider Business Practice Location Address
First Line : 13698 SW 8TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33184-1039
Country : US
Telephone Number : 305-221-4589
Fax Number : 305-222-1258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2011
Last Update Date : 12/06/2011

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Directions to “ DR. MICHEL ANGE TANIS PHARMD.” Practice Location

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