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Individual

ABRAHAM TAREQ YACOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(888) 977-1998
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(888) 977-1998

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME135285
FL
208M00000X
Hospitalist Physician
ME135285
FL

Other

Enumeration date
04/20/2015
Last updated
10/16/2019
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