Organization Active NPI

Healthcare Specialists of Florida PLLC

  • Geriatric Psychiatry Physician
  • Daytona Beach, FL
National Provider Identifier
1235704065
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
HEALTHCARE SPECIALISTS OF FLORIDA PLLC
Practice address
575 N Clyde Morris Blvd Ste a
Daytona Beach, FL 32114-2323
Phone
(321) 355-7377
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Riaz Rahman, MD
Title
Ceo
Phone
(321) 443-9924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

575 N Clyde Morris Blvd Ste a
Daytona Beach, FL 32114-2323

Mailing address

646 Hills Blvd
Port Orange, FL 32127-2902
Phone (321) 443-9924

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://static.practicefusion.com/apps/ehr/index. Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1235704065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 HILLS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272902",
            "telephone_number": "321-443-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N CLYDE MORRIS BLVD STE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142323",
            "telephone_number": "321-355-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE SPECIALISTS OF FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-443-9924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "575 N Clyde Morris Blvd Ste A",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321142323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.