Individual
PARISIMA TAEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-2837
(239) 343-3164
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
(615) 371-5744
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME106617
FL
207R00000X
Internal Medicine Physician
MT189463
PA
208M00000X
Hospitalist Physician
01066717A
IN
208M00000X
Hospitalist Physician
Primary
ME106617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640373
ANTHEM PROVIDER NUMBER
IN
05
—
200974170
—
IN
Enumeration date
07/14/2008
Last updated
08/29/2011
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