Individual
MR. ABDELRAHIM ALI ABU-SHTAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
12805 HAMMOCK PARK DR, RIVERVIEW, FL 33579-9387
(813) 766-7646
(813) 354-4416
Mailing address
12805 HAMMOCK PARK DR, RIVERVIEW, FL 33579-9387
(813) 766-7646
(813) 354-4416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9406916
FL
Other
Enumeration date
06/07/2018
Last updated
07/02/2025
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