Fred J. Rahaim, Ph.D. P.A.

LBN: Fred J. Rahaim, Ph.D. P.A.
Fred J. Rahaim, Ph.D. P.A. is an health care organization with primary practice located at 5635 Crest Creek Dr , Jacksonville FL 32258-5358. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Fred J. Rahaim, Ph.D. P.A. can be contacted via phone (904) 704-0851, or through Rahaim, Fred Joseph via phone (904) 704-0851.

Contact Information

Primary practice address
5635 Crest Creek Dr Jacksonville FL 32258-5358
Phone: (904) 704-0851
Fax: (904) 880-0652
Website:
Map and Directions
Authorized official contact:
Name: Rahaim, Fred Joseph PH.,D.
Phone: (904) 704-0851

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002524 Florida

Profile Details

NPI number 1972939767
LBN Legal business name Fred J. Rahaim, Ph.D. P.A.
DBA Doing business as
Authorized official Rahaim, Fred Joseph PH.,D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2013
Last updated Sep 24th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972939767 NPPES
Other 1265475412 NPI

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