Individual
QUENTIN K TANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6013
Mailing address
PO BOX 748249, ATLANTA, GA 30374-8249
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01059962
IN
207X00000X
Orthopaedic Surgery Physician
114992
MT
207X00000X
Orthopaedic Surgery Physician
23161
WV
207X00000X
Orthopaedic Surgery Physician
4301088628
MI
207X00000X
Orthopaedic Surgery Physician
60598
MN
207X00000X
Orthopaedic Surgery Physician
67408
WI
207X00000X
Orthopaedic Surgery Physician
93972
SC
207X00000X
Orthopaedic Surgery Physician
Primary
ME139915
FL
207XX0801X
Orthopaedic Trauma Physician
60598
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000654277
ANTHEM
IN
05
—
0009333000
—
WV
05
—
200513140
—
IN
Enumeration date
05/22/2007
Last updated
06/18/2025
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