Organization · Type 2 NPI
Syed Shafeeq Ur Rahman PA
Clinic/Center · Fort Pierce, FL
NPI number
1821233305
Active
Practice location
805 Virginia Ave, Suite 16
Fort Pierce, FL 34982-5881
Fax (772) 465-5160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | ME86628 (FL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1821233305
Syed Shafeeq Ur Rahman PA's National Provider Identifier is 1821233305, issued on Dec 11, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Pierce, FL. The record was last updated on Jul 2, 2009.