Individual
TABITHA NICOLE TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 N CLYDE MORRIS BLVD ROC BLDG-2ND FLOOR, HALIFAX HEALTH CENTER FOR ONCOLOGY, DAYTONA BEACH, FL 32114-2709
(386) 254-4212
(386) 254-4214
Mailing address
HHCSI, PO BOX 732901, DALLAS, TX 75373-2901
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MMD.33656 LL
SC
207RH0003X
Hematology & Oncology Physician
Primary
ME132706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021173500
—
FL
Enumeration date
06/08/2011
Last updated
07/21/2022
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