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General NPI Number Information
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NPI Number | 1598572513
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Entity Type | Organization
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Legal Business Name | SALMA RAWOF MD LLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 9161 NARCOOSSEE RD # B209
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City | ORLANDO
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State | FL
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Zip | 32827-5764
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Country | US
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Telephone | 321-222-6261
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Fax |
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Provider Business Mailing Address
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Address Line | 9304 MUSTARD LEAF DR
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City | ORLANDO
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State | FL
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Zip | 32827-7082
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Country | US
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Telephone | 352-577-2562
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Fax |
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Authorized Official
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Title or Position | OWNER CEO
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Name | DR. SALMA RAWOF
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Credential | MD
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Telephone | 352-577-2562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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