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

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.

Title

President

Phone

(407) 647-7300

Specialties & licenses 1

Addresses

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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• 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.