Individual
SYED SHAFEEQ UR RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 VIRGINIA AVE, SUITE 16, FORT PIERCE, FL 34982-5881
(772) 468-6969
(772) 465-5160
Mailing address
805 VIRGINIA AVE, SUITE 16, FORT PIERCE, FL 34982-5881
(772) 468-6969
(772) 465-5160
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME86628
FL
Other
Enumeration date
12/13/2006
Last updated
12/02/2024
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