Healthcare Provider Details

I. General information

NPI: 1417895475
Provider Name (Legal Business Name): FNU MUHAMMAD ABDUL REHMAN MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 CAPITAL MEDICAL BLVD STE 200A
TALLAHASSEE FL
32308-8419
US

IV. Provider business mailing address

2626 CARE DR STE 102
TALLAHASSEE FL
32308-4489
US

V. Phone/Fax

Practice location:
  • Phone: 850-878-8235
  • Fax:
Mailing address:
  • Phone: 850-325-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: