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Individual

DR. JEAN CLAUDE TABUTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
345 S CONGRESS AVE, DELRAY BEACH, FL 33445-4617
(561) 274-3100
(561) 274-3144
Mailing address
7023 LAKE ISLAND DR, LAKE WORTH, FL 33467-7950
(561) 967-4252

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME47425
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0428906-00
FL
01
56161Z
MEDICARE PTAN
FL
Enumeration date
07/06/2006
Last updated
01/02/2015
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