Provider Demographics
NPI:1144882382
Name:MAJID, TANIA
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:MAJID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9105 RANCH RD
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2550
Mailing Address - Country:US
Mailing Address - Phone:954-254-3295
Mailing Address - Fax:
Practice Address - Street 1:7737 N UNIVERSITY DR STE 104
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2968
Practice Address - Country:US
Practice Address - Phone:954-720-5492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2024-07-31
Deactivation Date:2019-07-09
Deactivation Code:
Reactivation Date:2019-07-19
Provider Licenses
StateLicense IDTaxonomies
FL152989207Q00000X
FL29665207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty