Individual
DR. TATIANA ZANGANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11390 SUMMERLIN SQUARE DR, FORT MYERS BEACH, FL 33931-5300
(239) 343-8880
(239) 343-4213
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8880
(239) 343-4213
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME163313
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
0101265404
VA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
MD473186
PA
208D00000X
General Practice Physician
0101265404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120722200
—
FL
Enumeration date
05/22/2017
Last updated
03/07/2024
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