Organization
JUVERIA TAWWAB MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUVERIA TAWWAB M.D. (M.D.)
(407) 833-0610
Entity
Organization
Contact information
Practice address
2605 W LAKE MARY BLVD, SUITE# 119, LAKE MARY, FL 32746-3568
(407) 302-1331
(407) 688-9455
Mailing address
PO BOX 952824, LAKE MARY, FL 32795-2824
(407) 302-1331
(407) 688-9455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME119485
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME119485
FL
Other
Enumeration date
04/23/2015
Last updated
03/23/2016
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