Individual
MICHAEL TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
(352) 273-9054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4252
MA
133V00000X
Registered Dietitian
Primary
ND8457
FL
Other
Enumeration date
03/08/2017
Last updated
12/05/2025
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