Individual
DR. JEREMY TABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 SW 92ND ST STE 204B, MIAMI, FL 33156-7377
(305) 661-9404
(305) 661-1510
Mailing address
8600 SW 92ND ST, SUITE 204A, MIAMI, FL 33156-7397
(305) 436-9933
(305) 436-9944
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME37905
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME37905
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME37905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043591100
—
FL
Enumeration date
09/26/2005
Last updated
01/30/2023
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