Panee Tantranond, M.D.

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

37174 Issued in FL

Practice address

3033 Winkler Avenue Ext
Fort Myers, FL 33916-9413

Phone

(239) 939-3939

NPI assigned

Apr 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891913257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 2ND AVE S",
            "city": "TIERRA VERDE",
            "state": "FL",
            "postal_code": "337152221",
            "telephone_number": "727-867-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVENUE EXT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169413",
            "telephone_number": "239-939-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTRANOND",
        "first_name": "PANEE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "FL",
            "license": "37174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovanie Serge Keusseu Tankeu, MD, MS, MPH, MBA, CH
• Christopher William Tann, M.D.
• Adam Thomas Tanner, DDS
• Jill M. Tanner, APRN
• Daryl Robert Tanski, MD
• Angela Maria Tapia, M.D.
• Melanie Tarabay, PA-C
• Lory Ann Taraborelli
• Target
• Monica Tarnawski Iriza, OD

• VA Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• VA Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.