Organization Active NPI

Tanhealth LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1922700525
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TANHEALTH LLC
Doing business as
TaNHealth LLC
Practice address
790 NW 107TH Ave Ste 107
Miami, FL 33172-3100
Phone
(757) 292-0515
Fax
(617) 362-2906
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Authorized official

Name
Jovanie Serge Keusseu Tankeu, MD,MS,MPH,MBA,CHES
Title
Chief Medical Executive
Phone
(757) 292-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

790 NW 107TH Ave Ste 107
Miami, FL 33172-3100

Mailing address

8220 SW 132ND St
Pinecrest, FL 33156-6628
Phone (757) 292-0515

Other names 1

  • TaNHealth LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688860800000",
    "number": "1922700525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 SW 132ND ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566628",
            "telephone_number": "757-292-0515",
            "fax_number": "617-362-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 NW 107TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723100",
            "telephone_number": "757-292-0515",
            "fax_number": "617-362-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "TANKEU",
        "authorized_official_first_name": "JOVANIE SERGE",
        "authorized_official_middle_name": "KEUSSEU",
        "authorized_official_title_or_position": "CHIEF MEDICAL EXECUTIVE",
        "authorized_official_telephone_number": "757-292-0515",
        "authorized_official_credential": "MD,MS,MPH,MBA,CHES"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TaNHealth LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TaNHealth LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; 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.