Individual
MICHAEL TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
801 VANDERBILT BEACH RD, NAPLES, FL 34108-8708
(239) 596-9482
(239) 597-4769
Mailing address
801 VANDERBILT BEACH RD, NAPLES, FL 34108-8708
(239) 596-9482
(239) 597-4769
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101908
FL
Other
Enumeration date
09/27/2006
Last updated
07/09/2007
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