Individual
DR. EUGENE PO TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8245 COUNTY ROAD 44 LEG A, SUITE 2, LEESBURG, FL 34788-3751
(352) 326-3366
(352) 326-3533
Mailing address
8245 COUNTY ROAD 44 LEG A, SUITE 2, LEESBURG, FL 34788-3751
(352) 326-3366
(352) 326-3533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME66420
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
ME66420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375528200
—
FL
Enumeration date
02/01/2006
Last updated
07/07/2008
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