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Organization
EXPRESS CARE OF TAMPA BAY, LLC
Active
Organization
EXPRESS CARE OF TAMPA BAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAWAJA A RAHMAN MD (PRESIDENT)
(813) 690-7589
Entity
Organization
Contact information
Practice address
6015 REX HALL LN, APOLLO BEACH, FL 33572-2657
(813) 641-0068
(813) 645-3816
Mailing address
6015 REX HALL LN, APOLLO BEACH, FL 33572-2657
(813) 641-0068
(813) 645-3816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0071027
FL
207R00000X
Internal Medicine Physician
Primary
ME0079013
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME71027
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME79013
FL
Other
Enumeration date
12/29/2006
Last updated
12/01/2011
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