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NPI Code Detail

MEDICARE: DR. NOEL D TAN M.D.

MEDICARE: DR. NOEL D TAN M.D.
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
12080N0001XNeonatal-Perinatal Medicine PhysicianME71650FL
22080N0001XNeonatal-Perinatal Medicine PhysicianME0071650FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
149869OTHERFLBC/BS NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902845043
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOEL D TAN M.D.
Provider Business Mailing Address
First Line : 2600 BRUCE B DOWNS BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-9207
Country : US
Telephone Number : 813-929-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2600 BRUCE B DOWNS BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-9207
Country : US
Telephone Number : 813-929-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 01/17/2023

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Directions to “ DR. NOEL D TAN M.D.” Practice Location

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