Tankson, Cedric J
Tankson, Cedric J is an individual health care provider with primary practice located at 701 Medical Plaza Dr , Leesburg FL 34748-7313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Tankson, Cedric J can be contacted via phone (352) 326-8115.Contact Information
Primary practice address
701 Medical Plaza Dr
Leesburg FL 34748-7313
Phone: (352) 326-8115
Fax: (352) 326-4186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | ME93733 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME93733 | Florida |
Profile Details
| NPI number | 1639289507 |
|---|---|
| LBN Legal business name | Tankson, Cedric J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 12th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639289507 | NPPES |
| Florida | Other | 30061 | BLUE CROSS OF FL |
| Florida | MEDICAID | 105136300 | BLUE CROSS OF FL |
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