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Individual

DR. NOEL D TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2600 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-9207
(813) 929-5000
Mailing address
2600 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-9207
(813) 929-5000

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME0071650
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
ME71650
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370494700
FL
01
49869
BC/BS NUMBER
FL
Enumeration date
06/05/2006
Last updated
01/17/2023
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