Healthcare Provider Details

I. General information

NPI: 1215367347
Provider Name (Legal Business Name): ANEEQ S RAFIQ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANEEQ S RAFIQ M.D

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 W SUNRISE BLVD STE A5
PLANTATION FL
33322-5426
US

IV. Provider business mailing address

8200 W SUNRISE BLVD STE A5
PLANTATION FL
33322-5426
US

V. Phone/Fax

Practice location:
  • Phone: 954-314-7423
  • Fax: 954-314-7426
Mailing address:
  • Phone: 954-314-7423
  • Fax: 954-314-7426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN856
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: