# SCOTT D TANNENBAUM MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528257458
- **Authorized official:** DR. SCOTT D TANNENBAUM MD (PRESIDENT)
- **Authorized official phone:** (954) 746-1338

## Contact information

- **Practice address:** 4399 N NOB HILL RD, SUNRISE, FL 33351-5813
- **Practice address phone:** (954) 746-1338
- **Practice address fax:** (954) 746-1331
- **Mailing address:** PO BOX 267515, WESTON, FL 33326-7515
- **Mailing address phone:** (954) 746-1338
- **Mailing address fax:** (954) 746-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME57381 | FL | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 10/16/2007