SYED SHAFEEQ UR RAHMAN PA NPI 1821233305

NPI Information

SYED SHAFEEQ UR RAHMAN PA is a clinic center in Fort Pierce, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SYED SHAFEEQ UR RAHMAN PA NPI is 1821233305. The provider is registered as an organization entity type.

The provider's business location address is:

805 VIRGINIA AVE
SUITE 16
FORT PIERCE, FL
ZIP 34982-881
Phone: (772) 468-6969
Fax: (772) 465-5160

The provider's authorized official is Syed Shafeeq Ur Rahman .
The authorized official title is M.d. and has the following contact phone number (772) 468-6969.

The enumeration date for this NPI number is 12/11/2008 and was last updated on 7/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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