Individual provider · Type 1 NPI

Mavany Tant, PA

Medical Physician Assistant · Orlando, FL

NPI number 1457724403 Active

Practice location

32 W Gore St
Orlando, FL 32806-1134

Call (877) 876-3627 Map

Fax (321) 843-4101

Mailing address

303 E Par St
Orlando, FL 32804-4003

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA53260 (CA)
Medical Physician Assistant Primary 363AM0700XPA9109290 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1457724403

Mavany Tant, PA's National Provider Identifier is 1457724403, issued on Nov 12, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Aug 28, 2019.