Juveria Tawwab MD LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

ME119485 Issued in FL

Legal business name

JUVERIA TAWWAB MD LLC

Practice address

2605 W Lake Mary Blvd
Suite# 119
Lake Mary, FL 32746-3568

Phone

(407) 302-1331

Fax

(407) 688-9455

NPI assigned

Apr 23, 2015

Organization subpart

No

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

Authorized official

Name

Juveria Tawwab, M.D.

Title

M.D.

Phone

(407) 833-0610

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdul Quyyum Ahmed, MD

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1336376086
  NPD (past)
• Faisal Tawwab, MD

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1285927277
  NPD (past)

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1912394305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952824",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327952824",
            "telephone_number": "407-302-1331",
            "fax_number": "407-688-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W LAKE MARY BLVD",
            "address_2": "SUITE# 119",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463568",
            "telephone_number": "407-302-1331",
            "fax_number": "407-688-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVERIA TAWWAB MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "TAWWAB",
        "authorized_official_first_name": "JUVERIA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "407-833-0610",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119485",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME119485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Julien, PT
• John Jump, CPO
• Sookeun Jung
• Jupiter Imaging Associates, Inc
• Matthew Seth Justus, D.C.
• Amir Kaldas, MD
• Kalyani Gaddipati MD PL
• Mary J Kamasinski
• Harvey Kansol, D.D.S
• Martin Alan Kansol, O.D.

• Multi-Specialty Clinic/Center in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.