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Individual

TAREK FAROUK BAKDASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-7108
(386) 917-7293
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
38665
MN
2084N0400X
Neurology Physician
E-14660
AR
2084N0400X
Neurology Physician
Primary
ME81264
FL
2084N0600X
Clinical Neurophysiology Physician
E-14660
AR

Other

Enumeration date
05/17/2006
Last updated
04/19/2024
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