Ivan Brandon Tanner
Ivan Brandon Tanner is a Physician Assistant in Melbourne, Florida. Qualified in 2024, 2 years ago. Licensed in Florida.
- Years since qualifying
- 2
- Licensed in
- FL
- In the registry since
- 2026
Practice location Address checks out
2100 N Wickham RdMelbourne, FL 32935-8110
Phone: (321) 752-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9121206 (FL) |
|---|
Record details
| NPI number | 1831044106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 3, 2026 |
| Last updated in NPPES | March 3, 2026 |
| Certification date | March 3, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Melbourne
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Mr. Christian Anthony Staniec, PA-C
6032 Farcenda Pl #102, Melbourne, FL 32940-7341 · (321) 608-8160
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Mrs. Keela Ramsey Stanley, PA-C
2 Suntree Pl, Melbourne, FL 32940-7689 · (321) 253-3944
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Frederick E Stewart, PA-C
7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 · (321) 255-6670
-
Nicole F Taft, PA-C
2080 W Eau Gallie Blvd, Melbourne, FL 32935-3185 · (321) 254-6218
-
Katie E Taylor, PA-C
240 N Wickham Rd Ste 102, Melbourne, FL 32935-8663 · (321) 541-1777
-
Michael J Thomas, PA
5545 N Wickham Rd Ste 104, Melbourne, FL 32940-7323 · (321) 784-8211
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Jennifer Jill Tite, PA
1223 Gateway Dr, Melbourne, FL 32901-2607 · (321) 549-0736
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