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Stephen Tannenbaum, MD
Urology Physician in Aventura, Florida
NPI 1780648220

Stephen Tannenbaum is a Urology Physician based in Fort Myers, FL. Stephen Tannenbaum practices in Aventura, FL and has the professional credentials of MD. The NPI Number for Stephen Tannenbaum is 1780648220 and holds a License No. : ME80333 (Florida).

The current practice location address for Stephen Tannenbaum is 21150 Biscayne Blvd, Aventura, FL and can be reached out via phone at 305-466-9111 and via fax at 305-466-9127.

Location: 21150 Biscayne Blvd, Aventura, FL, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780648220
Provider Name
Stephen Tannenbaum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21150 Biscayne Blvd, Aventura, FL, 33907-1412
Phone Number
305-466-9111
Fax Number
305-466-9127
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00614895 01 FL RR MEDICARE
03283 01 FL BCBS FL
1193485 01 FL WELLCARE
0486638 01 FL CIGNA
260392600 05 FL
P0003168 01 FL FLORIDA HEALTHCARE PLUS
10719 01 FL DIMENSION HEALTH PLAN
7755456 01 FL AETNA PROVIDER #
1072583 01 FL CAREPLUS
P01720866 01 FL SIMPLY HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
21150 Biscayne Blvd
City
Aventura
State
Florida
Zip
33180-1226
Phone Number
305-466-9111
Fax Number
305-466-9127
person
Provider Business Mailing Address Details
Address
21150 Biscayne Blvd
City
Aventura
State
Florida
Zip
33180-1226
Phone Number
305-466-9111
Fax Number
305-466-9127
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0080333 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
: ME80333 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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