Individual
FAISAL TAWWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 W LAKE MARY BLVD, SUITE 119, LAKE MARY, FL 32746-3568
(407) 878-7990
Mailing address
2605 W LAKE MARY BLVD STE 111, LAKE MARY, FL 32746-3568
(407) 878-7990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46367
KY
207Q00000X
Family Medicine Physician
Primary
ME123545
FL
208M00000X
Hospitalist Physician
46367
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100216480
—
KY
01
—
P01196100
RAILROAD MEDICARE
KY
Enumeration date
05/24/2011
Last updated
07/17/2025
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