Organization
IMAD TAHBUB MD LLC
Active
Other names
IMAD TAHBUB MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZA FAISAL (OFFICE MANAGER)
(407) 545-6232
Entity
Organization
Contact information
Practice address
1726 MARKHAM GLEN CIR, LONGWOOD, FL 32779-2797
(914) 233-4678
Mailing address
5728 MAJOR BLVD STE 528, ORLANDO, FL 32819-7962
(914) 233-4678
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679054993
—
FL
Enumeration date
08/24/2018
Last updated
07/07/2021
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