| Alan L Tannenbaum Md Pa | |
|
523 Cape Coral Pkwy E, Primary Care Assoc, Cape Coral, FL 33904-8545 | |
| (239) 549-2772 | |
| (239) 549-2332 |
| Full Name | Alan L Tannenbaum Md Pa |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 523 Cape Coral Pkwy E, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902885270 | NPI | - | NPPES |
| 38626 | Other | FL | BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Hull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811930779 PECOS PAC ID: 8224941406 Enrollment ID: I20031112000658 |
| Provider Name | Alan L Tannenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235117342 PECOS PAC ID: 5294621777 Enrollment ID: I20040624000179 |
| Provider Name | Robert H Heiser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720088982 PECOS PAC ID: 9234196379 Enrollment ID: I20041210000268 |
| Provider Name | Barry K Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581449 PECOS PAC ID: 9830134402 Enrollment ID: I20080913000085 |
| Provider Name | Debra K Roggow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447245451 PECOS PAC ID: 2769670074 Enrollment ID: I20101230000096 |
| Provider Name | Aaron D Bilovecky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598914715 PECOS PAC ID: 1759443021 Enrollment ID: I20130627000239 |
| Provider Name | Mark Genco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285980110 PECOS PAC ID: 1557666294 Enrollment ID: I20161010001559 |
| Provider Name | William Michael Johnson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508851171 PECOS PAC ID: 1658317359 Enrollment ID: I20250521000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan L Tannenbaum Md Pa 523 Cape Coral Pkwy E, Primary Care Assoc, Cape Coral, FL 33904-8545 Ph: (239) 549-2772 | Alan L Tannenbaum Md Pa 523 Cape Coral Pkwy E, Primary Care Assoc, Cape Coral, FL 33904-8545 Ph: (239) 549-2772 |