BENJAMIN TIAN-HAI TAN

JACKSONVILLE, FL
NPI1619471216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  UO5958)
Enumeration Date2018-03-20
Last Update Date2020-09-01
Business Address
BENJAMIN TIAN-HAI TAN DO
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Phone number: 904-953-2000
Mailing Address
BENJAMIN TIAN-HAI TAN DO
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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