Provider Demographics
NPI:1265637391
Name:TANG, XINMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:XINMIN
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:XINMIN
Other - Middle Name:
Other - Last Name:TANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8441 W LINEBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-3729
Mailing Address - Country:US
Mailing Address - Phone:813-792-4804
Mailing Address - Fax:813-926-0404
Practice Address - Street 1:8441 W LINEBAUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-3729
Practice Address - Country:US
Practice Address - Phone:813-792-4804
Practice Address - Fax:813-926-0404
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME965282081P2900X, 2081S0010X, 204R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000737800Medicaid
FL07477OtherBCBS
FL000737800Medicaid