| Faisal Tawwab, M.d., Llc | |
|
780 Deltona Blvd Suite 104 Deltona FL 32725-7128 | |
| (407) 330-8377 | |
| Not Available |
| Full Name | Faisal Tawwab, M.d., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 780 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Faisal Tawwab (MANAGER) |
| Authorized Official Contact | 4073308377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faisal Tawwab, M.d., Llc Po Box 5668 Deltona FL 32728-5668 Ph: (407) 330-8377 | Faisal Tawwab, M.d., Llc 780 Deltona Blvd Suite 104 Deltona FL 32725-7128 Ph: (407) 330-8377 |
| NPI Number | 1154795565 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154795565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME123545 (Florida) | Primary |
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