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General NPI Number Information
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NPI Number | 1013404706
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Entity Type | Organization
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Legal Business Name | FLORIDA MEDICAL PROFESSIONALS LLC
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | ST. MARY'S MEDICAL CENTER 901 45TH STREET
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City | WEST PALM BEACH
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State | FL
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Zip | 33407
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Country | US
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Telephone | 561-601-7979
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Fax | 561-855-6172
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | COVINGTON
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State | GA
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Zip | 30015-0132
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Country | US
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Telephone | 954-686-8426
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Fax | 954-245-0458
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Authorized Official
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Title or Position | MANAGER
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Name | MR. TARIQ RAHIM
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Credential |
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Telephone | 954-686-8426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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