Individual
MAVANY TANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
32 W GORE ST, ORLANDO, FL 32806-1134
(877) 876-3627
(321) 843-4101
Mailing address
303 E PAR ST, ORLANDO, FL 32804-4003
(877) 876-3627
(321) 843-4101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA53260
CA
363AM0700X
Medical Physician Assistant
Primary
PA9109290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021348500
—
FL
01
—
PA53260
CA PA LICENSE
CA
Enumeration date
11/12/2015
Last updated
08/28/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us