Individual
THANE HTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 HARDEN BLVD, LAKELAND, FL 33803-7952
(863) 284-5020
(863) 284-5192
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD34115
TN
207RP1001X
Pulmonary Disease Physician
MD34115
TN
Other
Enumeration date
05/11/2006
Last updated
07/17/2022
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