Organization
USBD HOSPITALISTS & CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHEEN FARUQUE M.D., (VICE PRESIDENT)
(239) 225-1778
Entity
Organization
Contact information
Practice address
14015 DANPARK LOOP, FORT MYERS, FL 33912-6854
(239) 225-1778
(239) 603-7264
Mailing address
14015 DANPARK LOOP, FORT MYERS, FL 33912-6854
(239) 225-1778
(239) 603-7264
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
ME95171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386744639
NPI
FL
01
—
15587
TIN
FL
05
—
280098500
—
FL
01
—
AD052Y
PTAN
FL
01
—
K8680
PTAN
FL
Enumeration date
07/27/2010
Last updated
04/28/2021
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