| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOVANIE SERGE KEUSSEU TANKEU | 1326661083 | 2023-07-09 |
Jovanie Serge Keusseu Tankeu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326661083. Registration indicates Jovanie Serge Keusseu Tankeu is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Jovanie Serge Keusseu Tankeu MD, MS, MPH, MBA, CH |
| Practice Office Address | 790 NW 107TH AVE STE 107 MIAMI, FL US |
| Practice Office Telephone | 3059278533 |
| Practice Office Fax | 6173622906 |
| Mailing Address | 7031 SW 62ND AVE SOUTH MIAMI, FL 331434701 US |
| Business Telephone | 3052847761 |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | ME158173
FL |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |