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

Tanner Medical Enterprises, Inc

Organization Family Medicine Physician · NPI 1508185190

Tanner Medical Enterprises, Inc is a Family Medicine Physician in Neptune Beach, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Florida Blvd
Neptune Beach, FL 32266-4966
Phone: (904) 241-2653
Fax: (904) 246-6312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence OS4709 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS4709 (FL)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence OS4709 (FL)

Record details

NPI number1508185190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Millicent Tanner — Administrator/Owner · (904) 241-2653
NPI enumeratedMay 23, 2010
Last updated in NPPESMarch 4, 2013
Mailing addressPo Box 51595, Jacksonville Beach, FL 32240-1595

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