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Organization
ALAN L TANNENBAUM MD PA
Active
Organization
ALAN L TANNENBAUM MD PA
Active
Other names
Primary Care Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN L TANNENBAUM MD (OWNER/PRIMARY OFFICER)
(239) 549-2772
Entity
Organization
Contact information
Practice address
523 CAPE CORAL PKWY E, PRIMARY CARE ASSOC, CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332
Mailing address
523 CAPE CORAL PKWY E, PRIMARY CARE ASSOC, CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38626
BS
FL
Enumeration date
01/13/2006
Last updated
09/11/2025
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