Healthcare Provider Details

I. General information

NPI: 1922793652
Provider Name (Legal Business Name): RAPIDER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 04/10/2023
Certification Date: 04/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11924 BOYETTE RD
RIVERVIEW FL
33569-5601
US

IV. Provider business mailing address

11924 BOYETTE RD
RIVERVIEW FL
33569-5601
US

V. Phone/Fax

Practice location:
  • Phone: 813-553-3330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PRAMJEET AHLUWALIA
Title or Position: OWNER
Credential: MD
Phone: 281-407-3018