# TANWEER MEMON MD PA

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

## Provider details

- **NPI number:** 1841216421
- **Authorized official:** DR. TANWEER MEMON M.D., P.A. (PHYSICIAN)
- **Authorized official phone:** (941) 625-9494

## Contact information

- **Practice address:** 2852 TAMIAMI TRL STE 5, PORT CHARLOTTE, FL 33952-5100
- **Practice address phone:** (941) 625-9494
- **Practice address fax:** (941) 743-8562
- **Mailing address:** 2852 TAMIAMI TRL STE 5, PORT CHARLOTTE, FL 33952-5100
- **Mailing address phone:** (941) 625-9494
- **Mailing address fax:** (941) 743-8562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0074367 | FL | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 12/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117689400 | — | FL |
| 05 | — | 258993100 | — | FL |
| 01 | — | 42648 | BCBS | FL |