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Individual

ABDULLAH TAMIN HAIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1312 MANATEE AVE E, BRADENTON, FL 34208-1358
(941) 708-8700
(941) 708-8706
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(877) 369-2391

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME146687
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122085500
FL
01
FH102623
DEA LIC
FL
Enumeration date
03/07/2006
Last updated
05/01/2024
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