Individual
DR. MANUEL NELSON TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 237-0509
(352) 237-9808
Mailing address
3309 SW 34TH CIR, SUITE 101, OCALA, FL 34474-3392
(352) 237-0509
(352) 237-9808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME83892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15739
BCBS PRVDR
FL
05
—
264793100
—
FL
01
—
592689712
UHC PRVDR
FL
01
—
ME83892
WC PROVDR
FL
01
—
N146227
HLTHEZ WC
FL
Enumeration date
11/24/2006
Last updated
06/05/2012
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