Individual
ALAN L TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
523 CAPE CORAL PKWY E, CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332
Mailing address
523 CAPE CORAL PKWY E, CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME69039
LIC
FL
Enumeration date
01/09/2006
Last updated
03/20/2015
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