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Individual

IGNATIUS ING HAN TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14713 SULLY RUN, ODESSA, FL 33556-4674
(813) 475-7100
(813) 475-7119
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-2003
(813) 436-5378

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME-65867
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252902500
FL
Enumeration date
07/14/2006
Last updated
12/04/2025
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