Individual
GUIRGUISS TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1401
(321) 434-1667
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DR.0065023
CO
2086S0127X
Trauma Surgery Physician
Primary
ME158330
FL
Other
Enumeration date
05/06/2013
Last updated
08/08/2022
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