Healthcare Provider Details
I. General information
NPI: 1255261830
Provider Name (Legal Business Name): SHRHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9723 SORBONNE LOOP
SEFFNER FL
33584-2609
US
IV. Provider business mailing address
9723 SORBONNE LOOP
SEFFNER FL
33584-2609
US
V. Phone/Fax
- Phone: 251-454-0478
- Fax:
- Phone:
- Fax:
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: DR.
HASEEB
RAHMAN
Title or Position: MD
Credential: MD
Phone: 251-454-0478