Organization
IMAD E TARABISHY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAD E TARABISHY MD (PRESIDENT)
(352) 596-8558
Entity
Organization
Contact information
Practice address
11339 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 596-8558
(352) 596-3494
Mailing address
11339 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 596-8558
(352) 596-3494
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0044203
FL
Other
Enumeration date
03/12/2009
Last updated
11/27/2019
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