SearchFlorida2084A0401X

John Tanner, DO

NPI 1952337990 · on the registry since 2006

Practice

Address
340 16th Ave N Ste A
Jacksonville Beach, FL 32250
Phone
(904) 241-2653
Fax
(904) 758-0559
Organisation at this address
Janet S Moulton Inc
United Recovery Centers Llc
Great Strides Rehabilitation Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
2084A0401X
2084A0401X
Also registered as
207Q00000X
207QA0401X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-16

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