Healthcare Provider Details

I. General information

NPI: 1528991619
Provider Name (Legal Business Name): RIHA MOMIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 W CALL ST
TALLAHASSEE FL
32304-3556
US

IV. Provider business mailing address

8890 RANSLEY STATION BLVD APT 417
PENSACOLA FL
32534-9592
US

V. Phone/Fax

Practice location:
  • Phone: 850-494-5939
  • Fax: 678-988-9857
Mailing address:
  • Phone: 678-988-9857
  • Fax: 678-988-9857

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 State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: