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Obaydah Ahmad Abdurraqeeb, DO
Family Medicine Physician in Melbourne, Florida
NPI 1316101264

Obaydah Ahmad Abdurraqeeb is a Family Medicine Physician based in Melbourne, FL. Obaydah Ahmad Abdurraqeeb practices in Melbourne, FL and has the professional credentials of DO. The NPI Number for Obaydah Ahmad Abdurraqeeb is 1316101264 and holds a License No. (Florida).

The current practice location address for Obaydah Ahmad Abdurraqeeb is 17 Silver Palm Ave, Melbourne, FL and can be reached out via phone at 321-733-2021 and via fax at 321-727-0884.

Location: 17 Silver Palm Ave, Melbourne, FL, 32902-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316101264
Provider Name
Obaydah Ahmad Abdurraqeeb
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
17 Silver Palm Ave, Melbourne, FL, 32902-1137
Phone Number
321-733-2021
Fax Number
321-727-0884
Provider Enumeration Date
07/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1524832 05 TN
3373352 01 TN MEDICARE GRP UFP
3373352 01 TN MEDICAID GRP UFP
OS11259 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
17 Silver Palm Ave
City
Melbourne
State
Florida
Zip
32901-3123
Phone Number
321-733-2021
Fax Number
321-727-0884
person
Provider Business Mailing Address Details
Address
17 Silver Palm Ave
City
Melbourne
State
Florida
Zip
32901-3123
Phone Number
321-733-2021
Fax Number
321-727-0884
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
DO2182 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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