Organization · Type 2 NPI
Tanner Medical Enterprises, Inc
Addiction Medicine (Family Medicine) Physician · Neptune Beach, FL
NPI number
1508185190
Active
Practice location
101 Florida Blvd
Neptune Beach, FL 32266-4966
Fax (904) 246-6312
Mailing address
PO Box 51595
Jacksonville Beach, FL 32240-1595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | OS4709 (FL) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | OS4709 (FL) |
| Addiction Psychiatry Physician | 2084P0802X | OS4709 (FL) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1508185190
Tanner Medical Enterprises, Inc's National Provider Identifier is 1508185190, issued on May 23, 2010. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Neptune Beach, FL. The record was last updated on Mar 4, 2013.