Individual
MRS. SHAKEELA TAWWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
780 DELTONA BLVD, DELTONA, FL 32725-7128
(386) 574-5565
(386) 574-5811
Mailing address
PO BOX 5668, DELTONA, FL 32728-5668
(386) 574-5565
(386) 574-5811
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME0045362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11947
—
FL
01
—
592864076
TAX ID
FL
Enumeration date
06/23/2005
Last updated
11/30/2011
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