Tabor, Mark H

Tabor, Mark H is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd , Tampa FL 33612-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tabor, Mark H can be contacted via phone (813) 974-1366.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Tampa FL 33612-4742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME 99904 Florida

Profile Details

NPI number 1467465153
LBN Legal business name Tabor, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467465153 NPPES
Florida MEDICAID 279534500
Florida Other 06353

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