Alan L Tannenbaum MD PA
Family Medicine in Cape Coral, FL. Organization (NPI-2).
NPI number1902885270
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1902885270
- Entity type
- Organization (NPI-2)
- Legal business name
- Alan L Tannenbaum MD PA
- Organization subpart
- No
- Enumeration date
- Jan 13, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 207R00000X | Internal Medicine | – | – |
Other names
- Primary Care Assoc (Doing Business As)
Practice location
523 Cape Coral Pkwy EPrimary Care Assoc
Cape Coral, FL 33904-8545
Phone 239-549-2772 · Fax 239-549-2332
Mailing address
523 Cape Coral Pkwy EPrimary Care Assoc
Cape Coral, FL 33904-8545
Phone 239-549-2772 · Fax 239-549-2332
Authorized official
Alan L Tannenbaum
Owner/Primary Officer
2395492772
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