Organization Active NPI

Tanhealth Wellness Pain and Spine Center

  • Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1902617608
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
TANHEALTH WELLNESS PAIN AND SPINE CENTER
Practice address
14131 Metropolis Avenue Suite 106
Fort Myers, FL 33912
Phone
(757) 292-0515
Fax
(239) 561-0090
NPI assigned
Jan 14, 2025
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Jovanie Serge Keusseu Tankeu, MD
Title
Owner
Phone
(757) 292-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

14131 Metropolis Avenue Suite 106
Fort Myers, FL 33912

Mailing address

14131 Metropolis Avenue Suite 106
Fort Myers, FL 33912
Phone (757) 292-0515

National Provider Directory

National Provider Directory

Locations

14131 Metropolis Ave
Ste 106
Fort Myers, FL 33912
Phone (239) 301-0105

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1902617608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 METROPOLIS AVENUE SUITE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "757-292-0515",
            "fax_number": "239-561-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 METROPOLIS AVENUE SUITE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "757-292-0515",
            "fax_number": "239-561-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANHEALTH WELLNESS PAIN AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "TANKEU",
        "authorized_official_first_name": "JOVANIE SERGE",
        "authorized_official_middle_name": "KEUSSEU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-292-0515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.