Tanenbaum, Myron

Tanenbaum, Myron is an individual health care provider with primary practice located at 7765 Sw 87Th Ave Suite 210, Miami FL 33173-2596. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Tanenbaum, Myron can be contacted via phone (305) 273-5353.

Contact Information

Primary practice address
7765 Sw 87Th Ave Suite 210 Miami FL 33173-2596
Phone: (305) 273-5353
Fax: (305) 273-0496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0041105 Florida
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 41105 Florida

Profile Details

NPI number 1225091473
LBN Legal business name Tanenbaum, Myron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 2nd, 2016 - about 8 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 1225091473 NPPES
Florida MEDICAID 0489972-00

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