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Search › Florida › 1223G0001X

Marnelli Tan

NPI 1457277386 · on the registry since 2026 · sole proprietor

Practice

Address
13127 Kings Lake Dr Unit 101
Gibsonton, FL 33534
Phone
(813) 677-3047
Organisation at this address
Thai Pham Dmd Pa
Kidzone Dentistry Pa
Southshore Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida