Individual
ARNIE BRUCE TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7614 JACQUE RD, SUITE A, HUDSON, FL 34667-7195
(727) 862-8548
(727) 863-4530
Mailing address
7614 JACQUE RD, SUITE A, HUDSON, FL 34667-7195
(727) 862-8548
(727) 863-4530
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0067943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250188100
—
FL
Enumeration date
05/31/2006
Last updated
07/08/2007
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