Organization
WOODLANDS MEDICAL SPECIALISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS B TAN MD (PRESIDENT)
(850) 696-4000
Entity
Organization
Contact information
Practice address
1118 GULF BREEZE PKWY, GULF BREEZE, FL 32561-7800
(850) 934-7880
(850) 434-2647
Mailing address
4724 N DAVIS HWY, PENSACOLA, FL 32503-2339
(850) 696-4000
(850) 434-2647
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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