MS. PANEE TANTRANOND


Address: 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413
Phone: 2399393939

MS. PANEE TANTRANOND (NPI# 1891913257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891913257
Entity Type Individual
Full Name MS. PANEE TANTRANOND
Credential M.D.
Practice Address 3033 Winkler Avenue Ext
Fort Myers
FL 33916-9413
Mailing Address 1152 2nd Ave S
Tierra Verde
FL 33715-2221
Practice Telephone 2399393939
Mailing Telephone 7278670523
Enumeration Date 2007-04-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
37174 FL Ambulatory Health Care Facilities

Office Location

Street Address 3033 WINKLER AVENUE EXT
City FORT MYERS
State FL
Zip Code 33916-9413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639165301 Gerald Leslie Arenstein Pharmacist 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2005-09-27
1164728697 Ronald Roy Spencer Sr. Counselor 3033 Winkler Avenue Ext, Va Outpatient Clinic, Fort Myers, FL 33916-9413 2011-02-01
1922310689 Kimberly Marie Argudin Spilman Pharmacist 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2010-07-10
1760611792 Dustin Scot Edwards Pharmacist 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2009-07-13
1952548430 Wendy Dean Pharmacist 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2009-01-20
1417106816 Mary B Morgan Student in an Organized Health Care Education/Training Program 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2008-09-10
1811150089 Thomas Frederick Mattras Internal Medicine 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2008-07-08
1548390883 Mary Cynthia Noel Nurse Practitioner 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2007-03-06
1184750358 Peter Anthony Pantera Podiatrist 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 2007-02-24
1710062187 Howard David Harrison Orthopaedic Surgery 3033 Winkler Avenue Ext, Va Outpatient Clinic-fort Meyers, Fort Myers, FL 33916-9413 2006-10-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982251377 Tamara Alvarez Behavioral Analyst 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 2019-08-21
1457853798 Grant Community Residential Home Community Health Worker 2252 Wright Street (a), Fort Myers, FL 33916 2018-03-02
1811345887 Alexis Walker Specialist/Technologist 1407 Gardenia Avenue, Fort Myers, FL 33916 2016-05-31
1346698669 Irving Radiology, Inc Radiology 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 2016-05-26
1629452347 Ashley Ann Alberts Nurse Practitioner 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 2015-07-13
1932442837 Nicolas Alonzo Bolanos Counselor 4150 Ford Street Extension, Fort Myers, FL 33916 2013-03-29
1588936785 Optum Infusion Services 204, Inc. Home Health 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 2012-02-02
1700181047 Michele Lintz Case Manager/Care Coordinator 1280 Maravilla Lane, Ft Myers, FL 33916 2011-01-18
1821399114 Dollar Rx Pharmacy Pharmacy 2950 Winkler Ave # 701, Fort Myers, FL 33916 2010-11-03
1942494687 Benjamin M. Lowe Pharmacist 3033 Winkler Ave Ext, Fort Myers, FL 33916 2007-09-05
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

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1528681723 Gainesville Vamc Clinic/Center 400 College Dr Ste 200, Middleburg, FL 32068-8525 2020-05-21
1831719715 Orlando Vamc Clinic/Center 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 2020-04-21
1851955405 Tampa Vamc Clinic/Center 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 2019-04-30
1316331952 James A.haley Va Hospital Clinic/Center 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 2015-03-20
1326436601 Biloxi Vamc Clinic/Center 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 2015-01-08
1255729505 Tampa Vamc Clinic/Center 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 2015-01-08
1609264738 Orlando Vamc Clinic/Center 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 2014-12-23
1902204167 Tampa Vamc Clinic/Center 7701 Little Rd, New Port Richey, FL 34654-5403 2014-12-19
1386042620 West Palm Beach Vamc Clinic/Center 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 2014-12-19
1629476965 Tampa Vamc Clinic/Center 14014 North 46th Street, Tampa, FL 33613-9998 2014-12-19
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Competitor

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City FORT MYERS
Zip Code 33916

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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