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

Tanner Medical Enterprises, Inc

Organization Family Medicine Physician · NPI 1508185190

Tanner Medical Enterprises, Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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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