Provider Demographics
NPI:1811432990
Name:TANGAN, FRANCISCO JR
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:TANGAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 EIGHT MILE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-8758
Mailing Address - Country:US
Mailing Address - Phone:210-461-7931
Mailing Address - Fax:
Practice Address - Street 1:8610 EIGHT MILE CREEK RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-8758
Practice Address - Country:US
Practice Address - Phone:210-461-7931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist