Tan, Stanley Andrew

Tan, Stanley Andrew is an sole proprietor health care provider with primary practice located at 1005 W Circle St , Avon Park FL 33825-2928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Tan, Stanley Andrew can be contacted via phone (863) 453-5500.

Contact Information

Primary practice address
1005 W Circle St Avon Park FL 33825-2928
Phone: (863) 453-5500
Fax: (863) 453-5566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME94328 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G23082 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2003-00713 North Carolina

Profile Details

NPI number 1396747721
LBN Legal business name Tan, Stanley Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Apr 18th, 2012 - about 12 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 1396747721 NPPES
North Carolina MEDICAID 89133MT

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