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

Benjamin Tian-Hai Tan, DO

Individual provider Family Medicine Physician · NPI 1619471216

Benjamin Tian-Hai Tan, DO is a Family Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence UO5958 (FL)

Record details

NPI number1619471216
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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