Organization
SHAKEELA TAWWAB MD PA
Active
Other names
SHAKEELA TAWWAB MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKEELA TAWWAB (MD)
(386) 574-5565
Entity
Organization
Contact information
Practice address
780 DELTONA BLVD STE 104, DELTONA, FL 32725-7128
(386) 574-5565
(386) 574-8567
Mailing address
780 DELTONA BLVD, #104, DELTONA, FL 32725-7128
(386) 574-5565
(386) 574-8567
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053800
—
FL
Enumeration date
03/19/2012
Last updated
03/19/2012
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