Healthcare Provider Details

I. General information

NPI: 1487161006
Provider Name (Legal Business Name): TAHMINA SALEEM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 OAKFIELD DR FL 33511
BRANDON FL
33511-5779
US

IV. Provider business mailing address

2500 HARBOR BLVD
PORT CHARLOTTE FL
33952-5000
US

V. Phone/Fax

Practice location:
  • Phone: 813-681-5551
  • Fax:
Mailing address:
  • Phone: 941-457-8630
  • Fax: 407-303-0473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME155959
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: