Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | ME90733 | FL |
NPI | 1285710855 |
---|---|
Provider Name | Dr. Tankut Onal |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-9687 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 12/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003566600 | (05) | FL |
036118572 | (05) | IL |