Antaki, Tamim

Antaki, Tamim is an individual health care provider with primary practice located at 1350 Hickory St Suite 102, Melbourne FL 32901-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Antaki, Tamim can be contacted via phone (321) 434-3455.

Contact Information

Primary practice address
1350 Hickory St Suite 102 Melbourne FL 32901-3224
Phone: (321) 434-3455
Fax: (321) 434-3456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME128056 Florida

Profile Details

NPI number 1225128895
LBN Legal business name Antaki, Tamim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225128895 NPPES
Florida MEDICAID 017282900
Florida Other IP030Z

Popular Providers