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1619471216
BENJAMIN TIAN-HAI TAN
JACKSONVILLE, FL
NPI
1619471216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL UO5958)
Enumeration Date
2018-03-20
Last Update Date
2020-09-01
Business Address
BENJAMIN TIAN-HAI TAN DO
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Phone number: 904-953-2000
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Mailing Address
BENJAMIN TIAN-HAI TAN DO
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Copy
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