Healthcare Provider Details

I. General information

NPI: 1649311036
Provider Name (Legal Business Name): ZAFIR AHMED ABDELRAHMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13745 HUNTWICK DR
ORLANDO FL
32837-5513
US

IV. Provider business mailing address

13745 HUNTWICK DR
ORLANDO FL
32837-5513
US

V. Phone/Fax

Practice location:
  • Phone: 407-257-5585
  • Fax: 407-854-6109
Mailing address:
  • Phone: 407-257-5585
  • Fax: 407-854-6109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPS28414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: