Basic Information
| Provider Information | |||||||||
| NPI: | 1144882382 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAJID | ||||||||
| FirstName: | TANIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9105 RANCH RD | ||||||||
| Address2: | |||||||||
| City: | PARKLAND | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330672550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542543295 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8199 N UNIVERSITY DR | ||||||||
| Address2: | |||||||||
| City: | TAMARAC | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333211744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8552266633 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2019 | ||||||||
| LastUpdateDate: | 11/10/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 07/09/2019 | ||||||||
| NPIReactivationDate: | 07/19/2019 | ||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 29665 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.