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Dr. John Calvin Tanner, DO
Addiction Medicine (Psychiatry & Neurology) Physician in Jacksonville Beach, Florida
NPI 1952337990

John Calvin Tanner is an Addiction Medicine (Psychiatry & Neurology) Physician based in Jacksonville Beach, FL and is specialized in Addiction Medicine. John Calvin Tanner practices in Jacksonville Beach, FL and has the professional credentials of DO. The NPI Number for John Calvin Tanner is 1952337990 and holds a License No. OS0004709 (Florida).

The current practice location address for John Calvin Tanner is 340 16Th Ave N Ste A, Jacksonville Beach, FL and can be reached out via phone at 904-241-2653 and via fax at 904-758-0559.

Location: 340 16Th Ave N Ste A, Jacksonville Beach, FL, 32240-1595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952337990
Provider Name
John Calvin Tanner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
340 16Th Ave N Ste A, Jacksonville Beach, FL, 32240-1595
Phone Number
904-241-2653
Fax Number
904-758-0559
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010659200 05 FL
82622 01 FL BCBS
068895900 05 FL
080025596 01 FL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
340 16Th Ave N Ste A
City
Jacksonville Beach
State
Florida
Zip
32250-4819
Phone Number
904-241-2653
Fax Number
904-758-0559
person
Provider Business Mailing Address Details
Address
340 16Th Ave N Ste A
City
Jacksonville Beach
State
Florida
Zip
32250-4819
Phone Number
904-241-2653
Fax Number
904-758-0559
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS4709 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
OS0004709 (Florida)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
OS0004709 (Florida)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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