Rasul, Faiaz M

Rasul, Faiaz M is an sole proprietor health care provider with primary practice located at 990 Palm St , Cocoa FL 32927-5145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rasul, Faiaz M can be contacted via phone (321) 639-4243.

Contact Information

Primary practice address
990 Palm St Cocoa FL 32927-5145
Phone: (321) 639-4243
Fax: (321) 639-4266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME72416 Florida

Profile Details

NPI number 1942313010
LBN Legal business name Rasul, Faiaz M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Nov 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942313010 NPPES
Florida Other 59-3578159 TAX #
Florida Other 32700B TAX #
Florida MEDICAID 251377300 TAX #

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