Healthcare Provider Details

I. General information

NPI: 1669879375
Provider Name (Legal Business Name): SUSAN RASHID D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12781 MIRAMAR PKWY STE 101
MIRAMAR FL
33027-2907
US

IV. Provider business mailing address

12781 MIRAMAR PKWY STE 101
MIRAMAR FL
33027-2907
US

V. Phone/Fax

Practice location:
  • Phone: 954-437-2020
  • Fax:
Mailing address:
  • Phone: 954-437-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS13184
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: