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NPI Code Detail

MEDICARE: DR. ROBERT RAPHAEL TAWIL M.D.

MEDICARE:  DR. ROBERT RAPHAEL TAWIL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist59-2748330FL

General Provider Information

NPI Number : 1669568143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT RAPHAEL TAWIL M.D.
Provider Business Mailing Address
First Line : 3741 NEPTUNE STREET
Second Line :
City : TAMPA
State : FL
Zip : 33629-5118
Country : US
Telephone Number : 813-254-4262
Fax Number : 813-251-6415
Provider Business Practice Location Address
First Line : 3741 NEPTUNE STREET
Second Line :
City : TAMPA
State : FL
Zip : 33629-5118
Country : US
Telephone Number : 813-254-4262
Fax Number : 813-251-6415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 10/04/2011

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Directions to “ DR. ROBERT RAPHAEL TAWIL M.D.” Practice Location

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