person
Dr. Derek W Tan, MD
Student in an Organized Health Care Education/Training Program in Miami, Florida
NPI 1023694510

Derek W Tan is a Student in an Organized Health Care Education/Training Program based in Fremont, FL. Derek W Tan practices in Miami, FL and has the professional credentials of MD. The NPI Number for Derek W Tan is 1023694510 and holds a License No. (Florida).

The current practice location address for Derek W Tan is 1611 Nw 12Th Ave, Miami, FL and can be reached out via phone at 510-648-0235.

Location: 1611 Nw 12Th Ave, Miami, FL, 94538-5562
person
Provider Profile Details
NPI Number
1023694510
Provider Name
Derek W Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1611 Nw 12Th Ave, Miami, FL, 94538-5562
Phone Number
510-648-0235
Fax Number
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12Th Ave
City
State
Zip
33136-1005
Phone Number
510-648-0235
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Nw 12Th Ave
City
State
Zip
33136-1005
Phone Number
510-648-0235
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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