Individual
SANDA A TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2130 E JOHNSON AVE STE 130, PENSACOLA, FL 32514-6065
(850) 494-3749
(850) 494-3974
Mailing address
2130 E JOHNSON AVE STE 130, PENSACOLA, FL 32514-6065
(850) 494-3749
(850) 494-3974
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
052098
GA
208C00000X
Colon & Rectal Surgery Physician
Primary
ME99653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279373300
—
FL
Enumeration date
05/05/2007
Last updated
05/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us