Organization
JOHN M TATUM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M TATUM M.D. (OWNER)
(407) 644-3593
Entity
Organization
Contact information
Practice address
2180 N PARK AVE, SUITE 326, WINTER PARK, FL 32789-2359
(407) 644-3593
(407) 644-1713
Mailing address
2180 N PARK AVE, SUITE 326, WINTER PARK, FL 32789-2359
(407) 644-3593
(407) 644-1713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0030885
FL
Other
Enumeration date
05/01/2007
Last updated
05/17/2017
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