Healthcare Provider Details

I. General information

NPI: 1710083811
Provider Name (Legal Business Name): STEVEN EARNEST RAHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10131 FOREST HILL BLVD STE 140
WELLINGTON FL
33414-6155
US

IV. Provider business mailing address

8487 SE MERRITT WAY
JUPITER FL
33458-1003
US

V. Phone/Fax

Practice location:
  • Phone: 561-798-5437
  • Fax: 561-798-7726
Mailing address:
  • Phone: 561-310-2330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME83769
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME83769
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: