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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAD PALMER DEWALD

Active

TAD PALMER DEWALD is a Sports Medicine (PM&R) healthcare provider located in MIAMI, Florida. NPI 1811258130 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · MIAMI, FL

Registration Details

NPI Number
1811258130
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2012 (14.159521447751 yrs)
Last Updated
Sep 5, 2023
Licenses
MD.35418 (AL)
54466 (AZ)
ME162738 (FL)

Practice Information

Address
3683 S MIAMI AVE STE 460
MIAMI, FL, 331334238
Browse FL providers · Browse ZIP 33133
Phone
3054593377
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Additional Specialty
Sports Medicine (PM&R)
Additional Specialty
Sports Medicine (PM&R)

Other Sports Medicine (PM&R) Providers in MIAMI, FL

Name Credential NPI
ALICIA R CARTER MD 1992712640
JOSE L VARGAS MD 1295874840
DR. TIMOTHY KEVIN TIU MD 1659651446
MELISSA MARIE GUANCHE MD 1043550718
HERBERT BAKER 1407332034
FABRIZIO RUSSO DPT 1114679859
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.