Organization
MAXINE C TABAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE C TABAS M.D. (PRESIDENT)
(407) 647-7300
Entity
Organization
Contact information
Practice address
1901 LEE RD, WINTER PARK, FL 32789-1834
(407) 647-7300
(407) 647-5496
Mailing address
1901 LEE RD, WINTER PARK, FL 32789-1834
(407) 647-7300
(407) 647-5496
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
08/17/2005
Last updated
08/17/2010
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