SearchFlorida163W00000X

Thomas Tanner

NPI 1891614145 · on the registry since 2026

Practice

Address
2040 N Dixie Hwy
Wilton Manors, FL 33305
Phone
(954) 463-9005
Organisation at this address
Camp 4 Health
Gay & Lesbian Community Center Of Greater Fort Lauderdale, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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