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1891913257
PANEE TANTRANOND
FORT MYERS, FL
NPI
1891913257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QV0200X Clinic/Center, VA
(Licence: FL 37174)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Ms. PANEE TANTRANOND m.d.
3033 WINKLER AVENUE EXT
FORT MYERS, FL 33916-9413
Phone number: 239-939-3939
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Mailing Address
Ms. PANEE TANTRANOND m.d.
1152 2ND AVE S
TIERRA VERDE, FL 33715-2221
Phone number: 727-867-0523
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