Healthcare Provider Details
I. General information
NPI: 1720979776
Provider Name (Legal Business Name): IMAC HOSPITALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9633 HATTON CIR
ORLANDO FL
32832-6169
US
IV. Provider business mailing address
11954 NARCOOSSEE RD # 2-167
ORLANDO FL
32832-6998
US
V. Phone/Fax
- Phone: 407-335-3549
- Fax: 866-366-6603
- Phone: 407-335-3549
- Fax: 866-366-6603
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARSHAD
REHMAN
Title or Position: OWNER
Credential: MD
Phone: 321-303-6457