| Doctor Name: | DR. ERNESTO TANO |
| NPI Number: | 1750673471 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME41746 |
| Business Practice Address: | 200 Congress Park Dr Suite 100 Delray Beach, FL - 334454609 |
| Business Phone Number: | 5613616608 |
| Business Fax Number: | 5613619857 |
| Mailing Address: | 7736 La Mirada Dr, BOCA RATON |
| State: | FL |
| Postal Code: | 334336111 |
| Phone Number: | 3059659685 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2011 |
| NPI Last Update Date: | 05/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 324500000X |
| License Number: | ME41746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |