Healthcare Provider Details

I. General information

NPI: 1174910681
Provider Name (Legal Business Name): SUBHIA REHMAN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CELEBRATION PL FL 2
CELEBRATION FL
34747-4606
US

IV. Provider business mailing address

380 CELEBRATION PL FL 2
CELEBRATION FL
34747-4606
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-4220
  • Fax: 407-303-4676
Mailing address:
  • Phone: 407-303-4220
  • Fax: 407-303-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberME140698
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: