Carol Tanner-St. Jame in Daytona Beach - Family Medicine

Carol Tanner-St. Jame - NPI 1740478197

Carol Tanner-St. Jame is a Family Medicine in Daytona Beach, Florida. Carol Tanner-St. Jame practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Carol Tanner-St. Jame is 1740478197. The last update date is 2011-04-13.

Carol Tanner-St. Jame's current location address is 1890 Lpga Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862743354 and fax number 3862745564. The mailing address for Carol Tanner-St. Jame is 1890 Lpga Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Tanner-St. Jame
Address 1890 Lpga Blvd, Daytona Beach, Florida
Phone Number 3862743354
Fax Number 3862745564
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1740478197
Provider Enumeration Date 2007-10-11
Last Updated Date 2011-04-13

Provider Mailing Address Detail

Address 1890 Lpga Blvd
City Daytona Beach
State Florida (FL)
Post Code 321177130
Phone Number 3862743354
Fax Number 3862745564

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME0047427
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4160 FL BLUE CROSS BLUE SHIELD
ME0047427 FL STATE LICENSE NUMBER

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FAQs about Carol Tanner-St. Jame

What is the unique identifier code issued to Carol Tanner-St. Jame by the Centers for Medicare & Medicaid Services (CMS)?

The Carol Tanner-St. Jame has been assigned the NPI (National Provider Identifier) 1740478197. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Carol Tanner-St. Jame?

The Carol Tanner-St. Jame is physically situated at 1890 Lpga Blvd, in the city of Daytona Beach, state of FL, with the postal code 321177130.

What is the Carol Tanner-St. Jame's area of specialization and corresponding taxonomy classification?

The Carol Tanner-St. Jame's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740478197 to Carol Tanner-St. Jame?

The Centers for Medicare & Medicaid Services originally issued the 1740478197 to Carol Tanner-St. Jame on 2007-10-11.

When was the information pertaining to Carol Tanner-St. Jame most recently updated or revised?

The details related to Carol Tanner-St. Jame, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-13.

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