Individual
DR. TAREK A SHAWKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST, HOLMES REGIONAL MEDICAL CENTER, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3466 N HARBOR CITY BLVD, MELBOURNE, FL 32935-5713
(321) 434-1771
(321) 434-1775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME77769
FL
208M00000X
Hospitalist Physician
Primary
ME77769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274983100
—
FL
Enumeration date
05/05/2006
Last updated
04/06/2017
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