Tan, Sanda A

Tan, Sanda A is an individual health care provider with primary practice located at 2130 E Johnson Ave Ste 130 , Pensacola FL 32514-6065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Tan, Sanda A can be contacted via phone (850) 494-3749.

Contact Information

Primary practice address
2130 E Johnson Ave Ste 130 Pensacola FL 32514-6065
Phone: (850) 494-3749
Fax: (850) 494-3974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 052098 Georgia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME99653 Florida

Profile Details

NPI number 1043422421
LBN Legal business name Tan, Sanda A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2007
Last updated May 18th, 2021 - about 4 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 1043422421 NPPES
Florida MEDICAID 279373300

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