Individual
IMAD FOUAD TABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308-4603
(954) 267-6770
(954) 267-6769
Mailing address
4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308-4603
(954) 267-6770
(954) 267-6769
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME36437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066022100
—
FL
Enumeration date
07/19/2005
Last updated
06/15/2012
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