Provider Demographics
NPI:1689928590
Name:RHMD LLC
Entity Type:Organization
Organization Name:RHMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:PRICE
Authorized Official - Last Name:HUNTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-254-6803
Mailing Address - Street 1:417 5TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4224
Mailing Address - Country:US
Mailing Address - Phone:321-254-6803
Mailing Address - Fax:321-254-6819
Practice Address - Street 1:417 5TH AVE APT 101
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4224
Practice Address - Country:US
Practice Address - Phone:321-254-6803
Practice Address - Fax:321-254-6819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95892207Q00000X
207Q00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H88039Medicare UPIN