Individual
DR. TIN MYO THAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 EVANS AVE, 204, FORT MYERS, FL 33901-9335
(239) 939-2428
(239) 433-1269
Mailing address
3949 EVANS AVE, 204, FORT MYERS, FL 33901-9335
(239) 939-2428
(239) 433-1269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME26383
FL
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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