Individual
DR. TOBIN S. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1682 NE PINE ISLAND RD, CAPE CORAL, FL 33909-1756
(239) 541-7553
(239) 343-7553
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 541-7553
(239) 343-4256
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DO157319
OR
207X00000X
Orthopaedic Surgery Physician
Primary
OS18960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114978100
—
FL
05
—
50066075
—
OR
01
—
R171513
MEDICARE PROVIDER PTAN
OR
Enumeration date
08/05/2008
Last updated
08/29/2022
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