Individual
BASIM TADROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065049
IL
207R00000X
Internal Medicine Physician
Primary
ME131722
FL
Other
Enumeration date
06/11/2014
Last updated
07/21/2022
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