Healthcare Provider Details

I. General information

NPI: 1013920602
Provider Name (Legal Business Name): ARKAM REHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4788 HODGES BLVD STE 105
JACKSONVILLE FL
32224-7223
US

IV. Provider business mailing address

PO BOX 919327
ORLANDO FL
32891-9327
US

V. Phone/Fax

Practice location:
  • Phone: 904-651-8206
  • Fax: 904-900-2221
Mailing address:
  • Phone: 904-651-8206
  • Fax: 904-900-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberME84002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: