Individual
DR. BOBAK REZA RAHMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13691 METRO PKWY STE 400, FORT MYERS, FL 33912-4349
(239) 440-6456
(239) 236-0337
Mailing address
PO BOX 9279, JUPITER, FL 33468-9279
(239) 440-6456
(239) 236-0337
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DOS911
HI
207P00000X
Emergency Medicine Physician
Primary
OS11406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53784704
—
HI
05
—
53784705
—
HI
01
—
A015
TRICARE
HI
Enumeration date
06/07/2006
Last updated
07/15/2025
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