Raza, Taj
Raza, Taj is an sole proprietor health care provider with primary practice located at 2825 Waldens Pond Cv , Longwood FL 32779-7037. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Raza, Taj can be contacted via phone (407) 829-6666.Contact Information
Primary practice address
2825 Waldens Pond Cv
Longwood FL 32779-7037
Phone: (407) 829-6666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6906510 | Florida |
Profile Details
| NPI number | 1841530532 |
|---|---|
| LBN Legal business name | Raza, Taj |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2013 |
| Last updated | Feb 18th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841530532 | NPPES |
| Florida | MEDICAID | 004286200 |
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