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1649048208
TAHIR BACCUS
ORLANDO, FL
NPI
1649048208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11029122)
Enumeration Date
2023-12-13
Last Update Date
2023-12-15
Business Address
Mr. TAHIR BACCUS ARNP
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-303-5600
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Mailing Address
Mr. TAHIR BACCUS ARNP
4371 SILVER CREEK ST
KISSIMMEE, FL 34744-9285
Phone number: 407-307-6054
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