Mavany Tant, PA
Physician Assistant, Medical in Orlando, FL. Individual provider (NPI-1).
NPI number1457724403
StatusActive
Last updated in NPPESAug 28, 2019
Details
- NPI
- 1457724403
- Entity type
- Individual (NPI-1)
- Name
- Mavany Tant
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2015
- Last updated
- Aug 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9109290 | FL | Yes |
| 363A00000X | Physician Assistant | PA53260 | CA |
Other names
- Mavany Caffrey (Former Name)
Practice location
32 W Gore StOrlando, FL 32806-1134
Phone 877-876-3627 · Fax 321-843-4101
Mailing address
303 E Par StOrlando, FL 32804-4003
Phone 877-876-3627 · Fax 321-843-4101
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