Healthcare Provider Details

I. General information

NPI: 1083560064
Provider Name (Legal Business Name): TAMPA COMPREHENSIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6015 REX HALL LN FL 33572
APOLLO BEACH FL
33572-2657
US

IV. Provider business mailing address

13318 WALDEN SHEFFIELD RD
DOVER FL
33527-5546
US

V. Phone/Fax

Practice location:
  • Phone: 813-690-7589
  • Fax: 813-645-3816
Mailing address:
  • Phone: 813-690-7589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KHAWAJA A RAHMAN
Title or Position: MD/MGR
Credential: MD
Phone: 813-690-7589