Organization
ROBERT R. TAWIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LYNN JACKSON (RECEPTIONIST)
(813) 254-4262
Entity
Organization
Contact information
Practice address
3741 W NEPTUNE ST, TAMPA, FL 33629-5118
(813) 254-4262
(813) 251-6415
Mailing address
3741 W NEPTUNE ST, TAMPA, FL 33629-5118
(813) 254-4262
(813) 251-6415
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001775
RAILROAD MEDICARE
FL
01
—
30919
BC/BS
FL
Enumeration date
02/11/2015
Last updated
02/11/2015
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