Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ekiong C. Tan MD, PA

Organization Urology Physician · NPI 1528085388

Ekiong C. Tan MD, PA is an Urology Physician in Englewood, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

779 Medical Dr Ste #5
Englewood, FL 34223-3980
Phone: (941) 425-5405
Fax: (941) 475-7689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME 0045958 (FL)

Record details

NPI number1528085388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ekieng Tan — President · (941) 425-5405
NPI enumeratedJuly 17, 2006
Last updated in NPPESOctober 5, 2007
Mailing address779 Medical Dr, Suite #5, Englewood, FL 34223-3980

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