Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS100435 | FL |
Y | 207P00000X | Emergency Physician | OS10435 | FL |
N | 208D00000X | General Practice Physician | OS100435 | FL |
NPI | 1265697254 |
---|---|
Provider Name | Dr. Christopher Frank Tana |
First Address | Bradenton, FL 34208-1000 |
Second Address | Bradenton, FL 34208-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2008 |
Last Update Date | 16/06/2020 |