MR. TAN PHUONG CAO MD
NPI 1932217064
Psychiatry & Neurology - Psychiatry in Macclenny, FL

Q: What is Tan Cao's NPI number?

The NPI number for Tan Cao is 1932217064. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Tan Cao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Tan Cao was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 28, 2006

7487 S STATE ROAD 121, MACCLENNY, FL 32063(904) 259-6211(904) 259-7104 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Tan Phuong Cao Md NPPES

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

MR. TAN PHUONG CAO MD (NPI 1932217064) is an individual psychiatry provider in Macclenny, Florida, licensed in Florida (ME 45087) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1932217064

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMR. TAN PHUONG CAOCredential: MD

Location Address7487 S STATE ROAD 121Macclenny, FL 32063-5451

Mailing Address7487 S State Road 121Macclenny, FL 32063-5451 · (904) 259-6211 · Fax (904) 259-7104

Phone(904) 259-6211

Fax(904) 259-7104

Sole ProprietorYes

Enumeration DateAugust 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1932217064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in FL · ME 45087

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

7487 S STATE ROAD 121, Macclenny, FL 32063

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES

Psychiatric Hospital

7487 S STATE ROAD 121, ACCOUNTING DEPARTMENT
MACCLENNY, FL 32063

Baker County (904) 259-6211

DR. HIEP Q NGUYEN MD

Family Medicine (Geriatric Medicine)