# MYRON TANENBAUM MD PA

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

## Provider details

- **NPI number:** 1942614771
- **Authorized official:** DR. MYRON TANENBAUM M.D. (PRESIDENT)
- **Authorized official phone:** (305) 273-5353

## Contact information

- **Practice address:** 7765 SW 87TH AVE, SUITE NUMBER 210, MIAMI, FL 33173-2596
- **Practice address phone:** (305) 273-5353
- **Practice address fax:** (305) 273-0496
- **Mailing address:** 7765 SW 87TH AVE, SUITE NUMBER 210, MIAMI, FL 33173-2596
- **Mailing address phone:** (305) 273-5353
- **Mailing address fax:** (305) 273-0496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/19/2014