TANNER MEDICAL ENTERPRISES, INC
NPI 1508185190
Family Medicine - Addiction Medicine in Neptune Beach, FL

Q: What is Tanner Medical Enterprises, Inc's NPI number?

The NPI number for Tanner Medical Enterprises, Inc is 1508185190. It was assigned to this organization in the NPPES registry on May 23, 2010.

Q: What is Tanner Medical Enterprises, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since May 23, 2010

101 FLORIDA BLVD, NEPTUNE BEACH, FL 32266(904) 241-2653(904) 246-6312 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanner Medical Enterprises, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER MEDICAL ENTERPRISES, INC (NPI 1508185190) is a healthcare organization registered as an addiction medicine in Neptune Beach, Florida and active in the NPI registry since May 2010. The organization lists Millicent H Tanner, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1508185190

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameTANNER MEDICAL ENTERPRISES, INC

Location Address101 FLORIDA BLVDNeptune Beach, FL 32266-4966

Mailing AddressPo Box 51595Jacksonville Beach, FL 32240-1595 · (904) 241-2653 · Fax (904) 246-6312

Phone(904) 241-2653

Fax(904) 246-6312

Organization SubpartNo

Authorized OfficialMillicent H TannerAdministrator/owner · (904) 241-2653

Enumeration DateMay 23, 2010

Last NPPES UpdateMarch 4, 2013

✔ NPI 1508185190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in FL · OS4709

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OS4709 (FL)

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License OS4709 (FL)

101 FLORIDA BLVD, Neptune Beach, FL 32266

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Other Identifiers 3

Other82622FL · Bcbs

Medicaid068895900FL

Medicare PIN82622ZFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Medical Enterprises, Inc's NPI number?

The NPI number for Tanner Medical Enterprises, Inc is 1508185190. It was assigned to this organization in the NPPES registry on May 23, 2010.

Where is Tanner Medical Enterprises, Inc located?

Tanner Medical Enterprises, Inc is located at 101 Florida Blvd, Neptune Beach, FL 32266. The listed phone number is (904) 241-2653.

What is Tanner Medical Enterprises, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Tanner Medical Enterprises, Inc was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.