Active NPI
Multicare Physicians PSC
- Family Medicine Physician
- Deltona, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME123545
- Legal business name
- MULTICARE PHYSICIANS PSC
- Practice address
- 634 Deltona Blvd
Deltona, FL 32725-8078 - Phone
- (386) 574-5565
- Fax
- (386) 574-8567
- NPI assigned
- Feb 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Faisal Tawwab, M.D.
- Title
- President
- Phone
- (385) 574-5565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME123545 | FL | Primary |
Addresses
Primary practice location
634 Deltona Blvd
Deltona, FL 32725-8078
Mailing address
PO Box 5668
Deltona, FL 32728-5668
Phone (386) 574-5565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2110152 | Multicare Physicians | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
634 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (407) 878-7990
634 Deltona Blvd
Deltona, FL 32725
Phone (386) 574-5565
2605 W Lake Mary Blvd
Ste 119
Lake Mary, FL 32746
Phone (407) 302-1331
2605 W Lake Mary Blvd
Ste 111
Lake Mary, FL 32746
Phone (407) 878-7990
Interoperability endpoints
- https://api.platform.athenahealth.com/14252/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Deltona, FL
- NPI 1851735682
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1174781710
-
- Family Nurse Practitioner
- Maitland, FL
- NPI 1376180851
-
- Gerontology Nurse Practitioner
- Altamonte Springs, FL
- NPI 1275130551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455235200000",
"number": "1316306871",
"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": "386-574-5565",
"fax_number": "386-574-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 DELTONA BLVD",
"city": "DELTONA",
"state": "FL",
"postal_code": "327258078",
"telephone_number": "386-574-5565",
"fax_number": "386-574-8567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICARE PHYSICIANS PSC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-12",
"last_updated": "2016-02-12",
"status": "A",
"authorized_official_last_name": "TAWWAB",
"authorized_official_first_name": "FAISAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "385-574-5565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME123545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.