Healthcare Provider Details

I. General information

NPI: 1578173365
Provider Name (Legal Business Name): RAMI TARABAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2020
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 CITRUS TOWER BLVD BLDG 9
CLERMONT FL
34711-6884
US

IV. Provider business mailing address

3160 LA COSTA CIR APT 206
NAPLES FL
34105-6622
US

V. Phone/Fax

Practice location:
  • Phone: 352-800-5144
  • Fax:
Mailing address:
  • Phone: 540-408-9915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberME157761
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: