Individual
DR. AMBREEN FATIMA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10301 HAGEN RANCH RD STE B6, BOYNTON BEACH, FL 33437-3723
(561) 752-9490
(561) 752-9491
Mailing address
1065 NE 125TH ST STE 409, NORTH MIAMI, FL 33161-5834
(888) 852-6672
(786) 235-6225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
FR0435669141
NY
207R00000X
Internal Medicine Physician
Primary
ME130639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME130693
LICENSE
FL
Enumeration date
06/30/2013
Last updated
07/21/2022
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