Individual
MAJESTIC TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3155
(863) 299-1251
(863) 299-7666
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME130305
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2008
Last updated
01/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us