Tabak, Jeremy

Tabak, Jeremy is an individual health care provider with primary practice located at 8600 Sw 92Nd St Ste 204B , Miami FL 33156-7377. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Tabak, Jeremy can be contacted via phone (305) 661-9404.

Contact Information

Primary practice address
8600 Sw 92Nd St Ste 204B Miami FL 33156-7377
Phone: (305) 661-9404
Fax: (305) 661-1510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME37905 Florida
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X ME37905 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME37905 Florida

Profile Details

NPI number 1609862515
LBN Legal business name Tabak, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 30th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609862515 NPPES
Florida MEDICAID 043591100

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