# IMAD E TARABISHY MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235370735
- **Authorized official:** DR. IMAD E TARABISHY MD (PRESIDENT)
- **Authorized official phone:** (352) 596-8558

## Contact information

- **Practice address:** 11339 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
- **Practice address phone:** (352) 596-8558
- **Practice address fax:** (352) 596-3494
- **Mailing address:** 11339 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
- **Mailing address phone:** (352) 596-8558
- **Mailing address fax:** (352) 596-3494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME0044203 | FL | Yes |

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 11/27/2019