| Doctor Name: | DR. MORTEZA TAVAKOL |
| NPI Number: | 1043476807 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME114767 |
| Business Practice Address: | 3365 Burns Rd Suite 101 Palm Beach Gardens, FL - 334104302 |
| Business Phone Number: | 5617751061 |
| Business Fax Number: | 5617751064 |
| Mailing Address: | 3365 Burns Rd, Suite 101 PALM BEACH GARDENS |
| State: | FL |
| Postal Code: | 334104302 |
| Phone Number: | 5617751061 |
| Fax Number: | 5617751064 |
| NPI Enumeration Date: | 07/31/2008 |
| NPI Last Update Date: | 09/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | ME114767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |