MEDICARE: ELIAS TABET MD

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
1	207L00000X	Anesthesiology Physician	MD479848	PA
2	207L00000X	Anesthesiology Physician	25MA11751100	NJ

General Provider Information

NPI Number	:	1376106617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIAS TABET MD

Provider Business Mailing Address
First Line	:	737 NW 3RD AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-2643
Country	:	US
Telephone Number	:	732-357-7703
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 NW 3RD AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-2643
Country	:	US
Telephone Number	:	732-357-7703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	02/11/2026

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Directions to “ ELIAS TABET MD” Practice Location

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