Raed Hattab PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

RAED HATTAB PA

Practice address

350 SE 2ND St
Ste 1640
Fort Lauderdale, FL 33301-1919

Phone

(305) 772-0347

Fax

(954) 473-0211

NPI assigned

May 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raed Hattab, MDNPI 1497701718

Title

President

Phone

(305) 772-0347

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raed Abdula Hattab, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crestview, FL
  • NPI 1497701718
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1154598258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SE 2ND ST",
            "address_2": "STE 1640",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011919",
            "telephone_number": "305-772-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SE 2ND ST",
            "address_2": "STE 1640",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011919",
            "telephone_number": "305-772-0347",
            "fax_number": "954-473-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAED HATTAB PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "HATTAB",
        "authorized_official_first_name": "RAED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-772-0347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Marie Raimondi, PA-AA

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.