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Staci L Tanouye, MD
Obstetrics & Gynecology Physician in Jacksonville Beach, Florida
NPI 1679739775

Staci L Tanouye is a Obstetrics & Gynecology Physician based in Atlanta, FL. Staci L Tanouye practices in Jacksonville Beach, FL and has the professional credentials of MD. The NPI Number for Staci L Tanouye is 1679739775 and holds a License No. 52096 (Florida).

The current practice location address for Staci L Tanouye is 1361 13Th Ave S Ste &110&115, Jacksonville Beach, FL and can be reached out via phone at 904-247-5514 and via fax at 904-247-3363.

Location: 1361 13Th Ave S Ste &110&115, Jacksonville Beach, FL, 30374-8817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679739775
Provider Name
Staci L Tanouye
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1361 13Th Ave S Ste &110&115, Jacksonville Beach, FL, 30374-8817
Phone Number
904-247-5514
Fax Number
904-247-3363
Provider Enumeration Date
07/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010025600 05 FL
institution
Provider Business Practice Location Address Details
Address
1361 13Th Ave S Ste &110&115
City
Jacksonville Beach
State
Florida
Zip
32250-3233
Phone Number
904-247-5514
Fax Number
904-247-3363
person
Provider Business Mailing Address Details
Address
1361 13Th Ave S Ste &110&115
City
Jacksonville Beach
State
Florida
Zip
32250-3233
Phone Number
904-247-5514
Fax Number
904-247-3363
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
52096 (Minnesota)
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 a primary physician for women.
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