Individual
DR. TEAN-SU TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6401 N FEDERAL HWY, IMPERIAL POINT ED, FT LAUDERDALE, FL 33308-1405
(954) 776-8500
Mailing address
3000 E SUNRISE BLVD, #15A, FT LAUDERDALE, FL 33304-3322
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS9091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37599
MEDICARE CORE
FL
Enumeration date
09/23/2005
Last updated
02/15/2008
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