Doctor Name: | CAROLYN TANN-STARR |
NPI Number: | 1023485695 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DBPR LICENSE SEC5380 |
Business Practice Address: | 6220 S Orange Blossom Trl Ste 198 Tannqigong Institute, Inc. Orlando, FL - 328094627 |
Business Phone Number: | 3216145657 |
Business Fax Number: | 3214738318 |
Mailing Address: | 440 Mercer St Nw, Tannqigong Institute Inc. PALM BAY |
State: | FL |
Postal Code: | 329072933 |
Phone Number: | 3216145657 |
Fax Number: | 3214738318 |
NPI Enumeration Date: | 08/30/2015 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | DBPR LICENSE SEC5380 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |