Individual provider · NPI-1
Tanner Benzinger, CAA
Anesthesiologist Assistant · Tallahassee, FL
NPI number1700286200
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1700286200
- Entity type
- Individual (NPI-1)
- Name
- Tanner Benzinger
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2014
- Certification date
- Nov 10, 2025
- Last updated
- Nov 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000287 | OH | Yes |
| 367H00000X | Anesthesiologist Assistant | 75000226A | IN |
Practice location
1300 Miccosukee RdTallahassee, FL 32308-5054
Phone 850-431-1155
Mailing address
4092 E Oldfield DrLeesburg, IN 46538-9508
Other practice locations
2401 W University Ave
Muncie, IN 47303-3428
Muncie, IN 47303-3428
Phone 765-741-1981 · Fax 765-751-2757
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