NPI Code Details Logo

NPI 1851735682

NPI 1851735682 : ANAM TAWWAB MD : DELTONA, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1851735682
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANAM TAWWAB MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/23/2013
-----------------------------------------------------
    Last Update Date     |    07/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    634 DELTONA BLVD. SUITE A
-----------------------------------------------------
    City                 |    DELTONA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32725-8112
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-878-7990
-----------------------------------------------------
    Fax                  |    407-732-7631
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    634 DELTONA BLVD. SUITE A
-----------------------------------------------------
    City                 |    DELTONA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32725-8112
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-878-7990
-----------------------------------------------------
    Fax                  |    407-732-7631
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    ME131458
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    48395
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.