Individual
DR. TAHER HUSAINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1395 N COURTENAY PKWY STE 106, MERRITT ISLAND, FL 32953-4474
(321) 452-1224
(321) 453-7784
Mailing address
9960 NW 116TH WAY STE 13, MEDLEY, FL 33178-1175
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
ME0041139
FL
2084N0400X
Neurology Physician
Primary
ME41139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127527900
—
FL
01
—
130023529
RAILROAD MEDICARE
FL
01
—
31144
BLUE CROSS
FL
01
—
4311627
AETNA
FL
01
—
592458061001
CHAMPUS
FL
01
—
ME0041139
FLORIDA WORK COMP
FL
01
—
ME41139
MEDICAL LICENSE
FL
Enumeration date
01/16/2006
Last updated
05/08/2026
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