Tanner, Guy

Tanner, Guy is an individual health care provider with primary practice located at 11375 Cortez Blvd , Brooksville FL 34613-5409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tanner, Guy can be contacted via phone (352) 596-6632.

Contact Information

Primary practice address
11375 Cortez Blvd Brooksville FL 34613-5409
Phone: (352) 596-6632
Fax: (352) 688-7224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME88006 Florida

Profile Details

NPI number 1114087566
LBN Legal business name Tanner, Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Sep 19th, 2012 - about 13 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 1114087566 NPPES
Florida MEDICAID 269788200

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