Individual
JOLY TAWADROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2920 MAGUIRE RD, OCOEE, FL 34761-4744
(407) 654-6506
(407) 636-7801
Mailing address
2920 MAGUIRE RD, OCOEE, FL 34761-4744
(407) 654-6506
(407) 636-7801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME163389
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120042200
—
FL
Enumeration date
05/20/2020
Last updated
11/14/2023
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