Taher Khalil M D P A
Internal Medicine, Interventional Cardiology in Ormond Beach, FL. Organization (NPI-2).
NPI number1902829393
StatusActive
Last updated in NPPESOct 29, 2024
Details
- NPI
- 1902829393
- Entity type
- Organization (NPI-2)
- Legal business name
- Taher Khalil M D P A
- Organization subpart
- No
- Enumeration date
- Jul 26, 2006
- Certification date
- Oct 29, 2024
- Last updated
- Oct 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | ME81508 | FL | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | ME81508 | FL |
Other names
- Cardiovascular Center (Doing Business As)
Practice location
1425 Hand AveSuite K
Ormond Beach, FL 32174-1135
Phone 386-673-5404 · Fax 386-673-5480
Mailing address
1425 Hand AveSuite K
Ormond Beach, FL 32174-1135
Phone 386-673-5404 · Fax 386-673-5480
Authorized official
Diana Borts
Office Manager
3866735441
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