Individual
IFTIKHAR RASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 1ST STREET SOUTH, WINTER HAVEN, FL 33880
(863) 297-1702
(863) 291-6084
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881
(863) 297-1702
(863) 291-6084
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME88613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269810200
—
FL
Enumeration date
07/30/2006
Last updated
03/07/2023
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