| Tamim Antaki, MD | |
|
1350 Hickory St, Suite 102, Melbourne, FL 32901-3224 | |
| (321) 434-3455 | |
| (321) 434-3456 |
| Full Name | Tamim Antaki |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 42 Years |
| Location | 1350 Hickory St, Melbourne, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225128895 | NPI | - | NPPES |
| 017282900 | Medicaid | FL | |
| IP030Z | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME128056 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group Llc | 7416100672 | 596 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamim Antaki, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 434-3455 | Tamim Antaki, MD 1350 Hickory St, Suite 102, Melbourne, FL 32901-3224 Ph: (321) 434-3455 |
Matthew Campbell, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3455 Fax: 321-434-3456 | |
Mr. James C Thornton, MD,FCCP Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3455 Fax: 321-434-3456 |