Individual
JOVANIE SERGE KEUSSEU TANKEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS, MPH, MBA, CH
Contact information
Practice address
13141 METROPOLIS AVENUE, SUITE 106, FORT MYERS, FL 33912
(239) 561-8880
(617) 362-2906
Mailing address
14131 METROPOLIS AVE STE 106, FORT MYERS, FL 33912-4455
(239) 561-8880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME158173
FL
208D00000X
General Practice Physician
Primary
ME158173
FL
Other
Enumeration date
05/28/2020
Last updated
05/06/2026
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