Maxine C Tabas MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

MAXINE C TABAS MD PA

Practice address

1901 Lee Rd
Winter Park, FL 32789-1834

Phone

(407) 647-7300

Fax

(407) 647-5496

NPI assigned

Aug 17, 2005

Last updated

Aug 17, 2010By 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

Maxine C Tabas, M.D.NPI 1962404855

Title

President

Phone

(407) 647-7300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maxine C Tabas, M.D.

  • MOHS-Micrographic Surgery Physician
  • Winter Park, FL
  • NPI 1962404855
  Authorized official Same address or phone

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1306838263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891834",
            "telephone_number": "407-647-7300",
            "fax_number": "407-647-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891834",
            "telephone_number": "407-647-7300",
            "fax_number": "407-647-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE C TABAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "TABAS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-647-7300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mauricio Chiropractic Clinics PA
• Susan Maxwell
• Alison Martin May, ALISON MAY
• Mayascript, Inc. (Mayascript Pharmacy)
• Mayflower Home Health Agency, LLC
• Mayflower Retirement Center Inc. Dba Mayflower Healthcare Center

• Procedural Dermatology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.