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NPI Code Detail

MEDICARE: DR. JAIME ARNOLDO BICHARA TOBAR M.D.

MEDICARE: DR. JAIME ARNOLDO BICHARA TOBAR 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
1207Q00000XFamily Medicine PhysicianME129582FL
22083X0100XOccupational Medicine PhysicianME129582FL
3261QU0200XUrgent Care Clinic/CenterME129582FL
4208D00000XGeneral Practice PhysicianME129582FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174941959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME ARNOLDO BICHARA TOBAR M.D.
Provider Business Mailing Address
First Line : 6521 N ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-2131
Country : US
Telephone Number : 954-941-6301
Fax Number : 954-941-7849
Provider Business Practice Location Address
First Line : 6521 N ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-2131
Country : US
Telephone Number : 954-941-6301
Fax Number : 954-941-7849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 10/21/2021

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