Organization
SYED SHAFEEQ UR RAHMAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED SHAFEEQ UR RAHMAN M.D. (M.D.)
(772) 468-6969
Entity
Organization
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
261Q00000X
Clinic/Center
Primary
ME86628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260888000
—
FL
Enumeration date
12/11/2008
Last updated
07/02/2009
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