Individual
IMAD TAHBUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(407) 352-2547
Mailing address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(407) 352-2547
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME115836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009088400
—
FL
01
—
14R7C
BCBS
FL
Enumeration date
07/22/2010
Last updated
07/13/2023
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