Provider Demographics
NPI:1841227667
Name:REHMAN, JAMIL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIL
Middle Name:
Last Name:REHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 2691
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-2691
Mailing Address - Country:US
Mailing Address - Phone:813-653-3737
Mailing Address - Fax:813-653-2525
Practice Address - Street 1:620 EICHENFELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5973
Practice Address - Country:US
Practice Address - Phone:813-653-3737
Practice Address - Fax:813-653-2525
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81146208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 81146OtherFL STATE LICENSE
FLME 81146OtherFL STATE LICENSE
FLDH341ZMedicare PIN