Healthcare Provider Details

I. General information

NPI: 1003027194
Provider Name (Legal Business Name): ROHMA SHAMSI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 SW 148TH AVE STE 300
MIRAMAR FL
33027-3259
US

IV. Provider business mailing address

3350 SW 148TH AVE STE 300
MIRAMAR FL
33027-3259
US

V. Phone/Fax

Practice location:
  • Phone: 800-400-6354
  • Fax:
Mailing address:
  • Phone: 800-400-6354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number4301119300
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number23139
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: