Organization
FRAN TANNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRAN TANNER (OWNER)
(904) 256-9202
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
(904) 330-1024
Mailing address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
(904) 330-1024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9342860
LICENSE
FL
Enumeration date
08/09/2018
Last updated
08/09/2018
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