Provider Demographics
NPI:1588090633
Name:TURBAY, TAMID ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:TAMID
Middle Name:ALBERTO
Last Name:TURBAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 EXECUTIVE LN STE 140
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-8068
Mailing Address - Country:US
Mailing Address - Phone:321-373-0505
Mailing Address - Fax:321-806-3290
Practice Address - Street 1:835 EXECUTIVE LN STE 140
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-8068
Practice Address - Country:US
Practice Address - Phone:321-373-0505
Practice Address - Fax:321-806-3290
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125122207R00000X
PR31742-R390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME125122OtherFL MEDICAL LICENSE