Healthcare Provider Details

I. General information

NPI: 1578413357
Provider Name (Legal Business Name): REMISSION RHEUMATOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25200 SAWYER FRANCIS LN STE 123
LUTZ FL
33559-6947
US

IV. Provider business mailing address

25200 SAWYER FRANCIS LN STE 123
LUTZ FL
33559-6947
US

V. Phone/Fax

Practice location:
  • Phone: 904-585-7678
  • Fax: 904-585-9685
Mailing address:
  • Phone: 904-585-7678
  • Fax: 904-585-9685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEHREEN MUMTAZ
Title or Position: PRESIDENT
Credential: MD
Phone: 210-992-4860