Faisal Tawwab, M.D., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME123545 Issued in FL

Legal business name

FAISAL TAWWAB, M.D., LLC

Practice address

780 Deltona Blvd
Suite 104
Deltona, FL 32725-7128

Phone

(407) 330-8377

NPI assigned

Nov 23, 2015

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faisal Tawwab

Title

Manager

Phone

(407) 330-8377

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1154795565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5668",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327285668",
            "telephone_number": "407-330-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 DELTONA BLVD",
            "address_2": "SUITE 104",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257128",
            "telephone_number": "407-330-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISAL TAWWAB, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "TAWWAB",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-330-8377"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Deltona, FL
• Providers in Deltona, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.