Individual
MEDHAT ALLAM REHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12900 CORTEZ BLVD, SUITE 104, BROOKSVILLE, FL 34613-6828
(352) 596-2233
(352) 596-4019
Mailing address
12900 CORTEZ BLVD, SUITE 104, BROOKSVILLE, FL 34613-6828
(352) 596-2233
(352) 596-4019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0066757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376892900
—
FL
Enumeration date
06/12/2006
Last updated
01/22/2013
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