Ekiong C. Tan M.d., P.a.

NPI #1528085388 in Englewood, Florida

Provider Information

NPI Number
1528085388
Entity Type
Organization
Organization Name
Ekiong C. Tan M.d., P.a.
Primary Specialty
Urology
Enumeration Date
Jul 17, 2006
Last Updated
Oct 5, 2007

Practice Location

Address
779 MEDICAL DR
Address 2
SUITE #5
State
Florida
ZIP Code
34223-3980
Phone
(941) 425-5405

Authorized Official

Name
EKIENG CHUA TAN, M.D.
Title
PRESIDENT
Phone
(941) 425-5405

Specialties & Taxonomy Codes

Specialty
Urology

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