Healthcare Provider Details

I. General information

NPI: 1750378113
Provider Name (Legal Business Name): RASHID TAHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 12/01/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3695 SOUTH MIAMI AVENUE SUITE 4003
MIAMI FL
33133
US

IV. Provider business mailing address

2777 SW 22ND AVE
MIAMI FL
33133-3164
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-4430
  • Fax: 53-854-4065
Mailing address:
  • Phone: 786-223-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberME83085
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME83085
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: