Healthcare Provider Details

I. General information

NPI: 1407768245
Provider Name (Legal Business Name): REEM ABUSUBHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25201 WESLEY CHAPEL BLVD FL 33559
LUTZ FL
33559-7201
US

IV. Provider business mailing address

25201 WESLEY CHAPEL BLVD FL 33559
LUTZ FL
33559-7201
US

V. Phone/Fax

Practice location:
  • Phone: 813-373-7799
  • Fax:
Mailing address:
  • Phone: 813-373-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71584
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: