Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME96528 | FL |
N | 2081S0010X | Sports Medicine | ME96528 | FL |
N | 213ES0000X | Sports Medicine | ME96528 | FL |
NPI | 1265637391 |
---|---|
Provider Name | Dr. Xinmin Tang |
First Address | Tampa, FL 33625-3729 |
Second Address | Tampa, FL 33625-3729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 08/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000737800 | (05) | FL |
07477 | BCBS (01) | FL |