Healthcare Provider Details

I. General information

NPI: 1932949047
Provider Name (Legal Business Name): REHAM SALEH APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E HALLANDALE BLVD SUITE 400
HALLANDALE BEACH FL
33009
US

IV. Provider business mailing address

2500 E HALLANDALE BLVD SUITE 400
HALLANDALE BEACH FL
33009
US

V. Phone/Fax

Practice location:
  • Phone: 866-234-8626
  • Fax: 561-821-9872
Mailing address:
  • Phone: 866-234-8626
  • Fax: 561-821-9872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11033012
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: