Staci L Tanouye in Jacksonville Beach - Obstetrics & Gynecology
Staci L Tanouye - NPI 1679739775
Staci L Tanouye is a Obstetrics & Gynecology in Jacksonville Beach, Florida. Staci L Tanouye practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Staci L Tanouye is 1679739775. The last update date is 2023-06-22.
Staci L Tanouye's current location address is 1361 13th Ave S Ste &110&115, Jacksonville Beach, Florida. You can contact this provider via phone number 9042475514 and fax number 9042473363. The mailing address for Staci L Tanouye is 1361 13th Ave S Ste &110&115, Jacksonville Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci L Tanouye |
|---|---|
| Address | 1361 13th Ave S Ste &110&115, Jacksonville Beach, Florida |
| Phone Number | 9042475514 |
| Fax Number | 9042473363 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679739775 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2023-06-22 |
Provider Mailing Address Detail
| Address | 1361 13th Ave S Ste &110&115 |
|---|---|
| City | Jacksonville Beach |
| State | Florida (FL) |
| Post Code | 322503233 |
| Phone Number | 9042475514 |
| Fax Number | 9042473363 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 52096 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025600 | FL | -- |
Post Comment/ Review Below
What is the Staci L Tanouye's unique identification number?
The Staci L Tanouye has been assigned the NPI (National Provider Identifier) Number 1679739775 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Staci L Tanouye's facilities are situated?
The facilities of Staci L Tanouye are physically located at the following address: 1361 13Th Ave S Ste &110&115, Jacksonville Beach, FL, 322503233.
What is Staci L Tanouye's area of expertise and its corresponding taxonomy classification?
The Staci L Tanouye's field of specialization is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their areas of practice.
When did the Staci L Tanouye receive its 1679739775?
The Staci L Tanouye was issued its 1679739775 on 2008-07-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Staci L Tanouye last refreshed?
The information related to the Staci L Tanouye, including its address, specialty, and other relevant details, was last updated on 2023-06-22.