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Contact Information

ABDELRAHIM A ABU SHTAIAH, ARNP
12805 HAMMOCK PARK DR
RIVERVIEW, FL33579-9387
 Phone: 813-766-7646
 Fax: 813-354-4416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ABDELRAHIM A ABU SHTAIAH · (Male)

NPI # 1336632033
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/07/2018
Last updated 07/02/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 9406916
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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