Tanner Medical Enterprises, Inc

LBN: Tanner Medical Enterprises, Inc
Tanner Medical Enterprises, Inc is an health care organization with primary practice located at 101 Florida Blvd , Neptune Beach FL 32266-4966. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Tanner Medical Enterprises, Inc can be contacted via phone (904) 241-2653, or through Tanner, Millicent H via phone (904) 241-2653.

Contact Information

Primary practice address
101 Florida Blvd Neptune Beach FL 32266-4966
Phone: (904) 241-2653
Fax: (904) 246-6312
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Millicent H
Phone: (904) 241-2653

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS4709 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X OS4709 Florida
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X OS4709 Florida

Profile Details

NPI number 1508185190
LBN Legal business name Tanner Medical Enterprises, Inc
DBA Doing business as
Authorized official Tanner, Millicent H
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2010
Last updated Mar 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508185190 NPPES
Florida Other 82622 BCBS
Florida MEDICAID 068895900 BCBS

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