Mario Enrique Tano MD

NPI 1174510341 - Pediatrics - 2080P0206X

NPI Details
NPI 1174510341
Gender Male
Enumeration Date 10/04/2005
Last Updated 07/23/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1150 N 35TH AVE
SUITE 545
HOLLYWOOD FL, 33021-5424, US
Phone (954) 967-9400
Fax (954) 967-9551
Business Location
5955 PONCE DE LEON BLVD.
CORAL GABLES FL, 33146, US
Phone (305) 661-1515
Fax (305) 662-3723
Toxanomy
Taxonomy Code 2080P0206X
License State Florida
License Number ME58352
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According to our database, Dr. Mario Enrique Tano MD NPI is 1174510341, taxonomy code is 2080P0206X and license number is ME58352, license state is located at Florida. Mario Enrique Tano MD physically located at 1150 N 35th Ave, Hollywood FL, 33021-5424. NPI Number Mario Enrique Tano MD has the Individual type.

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1174510341 NPI number is provided on an as is basis without warranty of any kind. 1174510341 is maintained by the National Plan & Provider Enumeration System. The contents of Mario Enrique Tano MD are for informational purposes only.