Tan, Eugene Po

Tan, Eugene Po is an sole proprietor health care provider with primary practice located at 8245 County Road 44 Leg A Suite 2, Leesburg FL 34788-3751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Tan, Eugene Po can be contacted via phone (352) 326-3366.

Contact Information

Primary practice address
8245 County Road 44 Leg A Suite 2 Leesburg FL 34788-3751
Phone: (352) 326-3366
Fax: (352) 326-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME66420 Florida
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X ME66420 Florida

Profile Details

NPI number 1750352258
LBN Legal business name Tan, Eugene Po
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Jul 7th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750352258 NPPES
Florida MEDICAID 375528200

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