DR. JEREMY TABAK


Address: 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716
Phone: 3056619404

DR. JEREMY TABAK (NPI# 1609862515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609862515
Entity Type Individual
Full Name DR. JEREMY TABAK
Practice Address 7000 Sw 62nd Ave
Suite 201
South Miami
FL 33143-4716
Mailing Address 8600 Sw 92nd St
Suite 204a
Miami
FL 33156-7397
Practice Telephone 3056619404
Practice Fax Number 3056611510
Mailing Telephone 3054369933
Mailing Fax Number 3054369944
Enumeration Date 2005-09-26
Last Update Date 2016-08-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
ME37905 FL Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
ME37905 FL Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
ME37905 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 043591100 05

Office Location

Street Address 7000 SW 62ND AVE
SUITE 201
City SOUTH MIAMI
State FL
Zip Code 33143-4716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093700015 Julian Fernando Naranjo Anesthesiology 7000 Sw 62nd Ave, Suite 535, South Miami, FL 33143-4716 2005-09-15
1215561972 Ramon Osmany Perez Landaburo Nurse Practitioner 7000 Sw 62nd Ave, South Miami, FL 33143-4716 2020-03-02
1679034714 Beryl Kalul Student in an Organized Health Care Education/Training Program 7000 Sw 62nd Ave, South Miami, FL 33143-4716 2019-03-30
1528595717 Denzel Cole Family Medicine 7000 Sw 62nd Ave, South Miami, FL 33143 2017-05-18
1760914022 Reliable Imaging Clinic/Center 7000 Sw 62nd Ave, Suite 525, South Miami, FL 33143-4716 2017-03-28
1003356965 Michele D'apuzzo, Md, Pa Orthopaedic Surgery 7000 Sw 62nd Ave, Suite 600, South Miami, FL 33143-4716 2017-02-27
1043663735 Monica Ramirez Nurse Practitioner 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716 2016-07-18
1194178285 Margarita Garcia-saladin-landron Counselor 7000 Sw 62nd Ave, 300, South Miami, FL 33143-4716 2016-07-13
1740643311 Matthew Treiman Student in an Organized Health Care Education/Training Program 7000 Sw 62nd Ave, Suite 401, South Miami, FL 33143-4716 2016-04-01
1972961787 Leslie Alina Santoyo Jimenez Specialist 7000 Sw 62nd Ave, South Miami, FL 33143-4716 2016-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821610395 Klsirage LLC Dentist 8688 Sw 72 St, Miami, FL 33143 2020-05-07
1417577669 Ahc Diagnostic and Imaging Services Clinic/Center 8000 Sw 67th Avenue, Miami, FL 33143 2020-04-17
1841832359 Haytham Elgammal Internal Medicine 7031 Sw 62nd, Miami, FL 33143 2019-10-16
1326504077 Zavita Life Health & Wellness Clinic/Center 6104 S Dixie Hwy, Miami, FL 33143 2019-02-19
1629548706 Floridacare Medical Centers Inc Internal Medicine 434 Sw 12 Ave, Miami, FL 33143 2018-11-30
1649766197 Demys D Gonzalez Nurse Practitioner 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 2018-07-09
1225529373 Marjory P Camargo Bermejo Behavior Technician 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 2018-05-24
1609365147 Foot Ankle and Knee Mri LLC Clinic/Center 7520 Sw 57th Ave Ste A, South Miami, FL 33143 2018-05-09
1871082024 Healing Counseling Services, LLC Counselor 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 2018-05-03
1750882957 Aba Therapy & Instruction Corp Behavioral Analyst 8101 Camino Real Apt C-204, Miami, FL 33143 2018-02-22
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669401774 Alejandro D Chediak Internal Medicine 7029 Sw 61st Ave, South Miami, FL 33143-3420 2006-07-01
1003164104 Benjamin and Blank LLC Internal Medicine 6200 Sw 73rd St, South Miami, FL 33143-4679 2012-08-21
1336326537 Veronica Palmero Internal Medicine 6200 Sw 73rd St, South Miami, FL 33143 2008-01-30
1891758645 Rodney Gram Benjamin Internal Medicine 6200 Sw 73rd St, South Miami, FL 33143-4679 2006-04-11
1477516623 Ilan Allan Feingold Internal Medicine 6200 Sunset Dr, Suite 304, South Miami, FL 33143-4828 2006-04-10
1720061500 Erick Abdiel Palma Internal Medicine 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716 2005-11-25
1578550943 Jenny Stay Machuca Internal Medicine 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716 2005-09-30
1700873437 Juan Francisco Rodriguez-moran Internal Medicine 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716 2005-09-27
1639165533 Raymond L Parker Internal Medicine 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716 2005-09-26
1790771723 Louis T Gidel Internal Medicine 7000 Sw 62nd Ave, Suite 201, South Miami, FL 33143-4716 2005-09-26
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Competitor

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City SOUTH MIAMI
Zip Code 33143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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