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Syed Shafeeq Ur Rahman Pa
Clinic/Center in Fort Pierce, Florida
NPI 1821233305

Syed Shafeeq Ur Rahman Pa is a Clinic/Center based in Fort Pierce, FL. Syed Shafeeq Ur Rahman Pa practices in Fort Pierce, FL. The NPI Number for Syed Shafeeq Ur Rahman Pa is 1821233305 and holds a License No. ME86628 (Florida).

The current practice location address for Syed Shafeeq Ur Rahman Pa is 805 Virginia Ave, Fort Pierce, FL and can be reached out via phone at 772-468-6969 and via fax at 772-465-5160.

Location: 805 Virginia Ave, Fort Pierce, FL, 34982-5881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821233305
Provider Name
Syed Shafeeq Ur Rahman Pa
Credential
Provider Entity Type
Organization
Address
805 Virginia Ave, Fort Pierce, FL, 34982-5881
Phone Number
772-468-6969
Fax Number
772-465-5160
Provider Enumeration Date
12/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260888000 05 FL
institution
Provider Business Practice Location Address Details
Address
805 Virginia Ave
City
Fort Pierce
State
Florida
Zip
34982-5881
Phone Number
772-468-6969
Fax Number
772-465-5160
person
Provider Business Mailing Address Details
Address
805 Virginia Ave
City
Fort Pierce
State
Florida
Zip
34982-5881
Phone Number
772-468-6969
Fax Number
772-465-5160
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME86628 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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