Tano, Mario Enrique

Tano, Mario Enrique is an sole proprietor health care provider with primary practice located at 3800 Johnson St Ste J , Hollywood FL 33021-6030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Tano, Mario Enrique can be contacted via phone (954) 967-9400.

Contact Information

Primary practice address
3800 Johnson St Ste J Hollywood FL 33021-6030
Phone: (954) 967-9400
Fax: (954) 967-9551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME58352 Florida

Profile Details

NPI number 1174510341
LBN Legal business name Tano, Mario Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Feb 8th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174510341 NPPES
Florida MEDICAID 064237100

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