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1629129531
MARY TANG
WINTER HAVEN, FL
NPI
1629129531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME101952)
Enumeration Date
2007-01-16
Last Update Date
2010-06-08
Business Address
-- MARY TANG M.D.
200 AVENUE F NE UFJP EMERGENCY DEPARTMENT
WINTER HAVEN, FL 33881-4131
Phone number: 863-293-1861
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Mailing Address
-- MARY TANG M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number:
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