Individual
DR. HUAIYU TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
125 BAPTIST WAY STE 4A, PENSACOLA, FL 32503-2274
(850) 437-8670
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 352-9500
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
BP1-0028968
TX
208100000X
Physical Medicine & Rehabilitation Physician
ME112876
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME112876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005930000
—
FL
Enumeration date
08/05/2007
Last updated
03/09/2026
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