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Dr. Josephine Racimo Estampador Tan, MD
Specialist in Kissimmee, Florida
NPI 1003807868

Josephine Racimo Estampador Tan is a Specialist based in Kissimmee, FL. Josephine Racimo Estampador Tan practices in Kissimmee, FL and has the professional credentials of MD. The NPI Number for Josephine Racimo Estampador Tan is 1003807868 and holds a License No. ME 60270 (Florida).

The current practice location address for Josephine Racimo Estampador Tan is 1125 N Central Ave, Kissimmee, FL and can be reached out via phone at 407-931-1887 and via fax at 407-931-2056.

Location: 1125 N Central Ave, Kissimmee, FL, 34741-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003807868
Provider Name
Josephine Racimo Estampador Tan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1125 N Central Ave, Kissimmee, FL, 34741-4405
Phone Number
407-931-1887
Fax Number
407-931-2056
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1290808 01 FL CIGNA PROVIDER ID #
270637 01 FL AVMED PROVIDER ID #
14049 01 FL BCBS PROVIDER ID #
173108 01 FL WELLCARE PROVIDER ID #
371692900 05 FL
institution
Provider Business Practice Location Address Details
Address
1125 N Central Ave
City
Kissimmee
State
Florida
Zip
34741-4405
Phone Number
407-931-1887
Fax Number
407-931-2056
person
Provider Business Mailing Address Details
Address
1125 N Central Ave
City
Kissimmee
State
Florida
Zip
34741-4405
Phone Number
407-931-1887
Fax Number
407-931-2056
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME 60270 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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