Individual
DR. MYRON TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7765 SW 87TH AVE, SUITE 210, MIAMI, FL 33173-2596
(305) 273-5353
(305) 273-0496
Mailing address
7765 SW 87TH AVE, SUITE 210, MIAMI, FL 33173-2596
(305) 273-5353
(305) 273-0496
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0041105
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
41105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489972-00
—
FL
Enumeration date
04/10/2006
Last updated
05/02/2016
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