Healthcare Provider Details

I. General information

NPI: 1386179638
Provider Name (Legal Business Name): REEM AHMED KASHIF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REEMA KASHIF

II. Dates (important events)

Enumeration Date: 04/25/2017
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3009
US

IV. Provider business mailing address

PO BOX 100296
GAINESVILLE FL
32610-0296
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-9120
  • Fax:
Mailing address:
  • Phone: 352-273-9120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME145102
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberME145102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: