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

Michael Tan Jr., PA-C

Individual provider Physician Assistant · NPI 1457975997

Michael Tan Jr., PA-C is a Physician Assistant in Leesburg, Florida. Qualified in 2019, 7 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

27637 US Highway 27
Leesburg, FL 34748-9033
Phone: (352) 326-6011
Fax: (352) 315-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-3003 — (352) 265-8932

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9113013 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 9113013 (FL)

Record details

NPI number1457975997
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Leesburg