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1457975997
MICHAEL TAN
GAINESVILLE, FL
NPI
1457975997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9113013)
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
MICHAEL TAN PA-C
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-8932
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Mailing Address
MICHAEL TAN PA-C
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0111
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