Organization
TAREQ AL-KHATIB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAREQ AL-KHATIB MD (MD)
(941) 625-4442
Entity
Organization
Contact information
Practice address
2852 TAMIAMI TR, STE 5, PORT CHARLOTTE, FL 33952
(941) 625-4442
(941) 625-9797
Mailing address
2852 TAMIAMI TR, STE 5, PORT CHARLOTTE, FL 33952
(941) 625-4442
(941) 625-9797
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0054121
FL
Other
Enumeration date
10/24/2006
Last updated
09/25/2007
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