Mr. Shahied Primm
Occupational Therapist - Gerontology
255 N Castleford Ct
Longwood
, Florida 32779-4582
Mr. Shahied Primm
Occupational Therapist - Gerontology
255 N Castleford Ct
Longwood
, Florida 32779-4582
(321) 439-6444
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Shahied Primm
- 255 N Castleford Ct
- Longwood, FL
- Zip : 32779-4582
- Phone : (321) 439-6444
Second Address
- Mr. Shahied Primm
- 255 N Castleford Ct
- Longwood, FL
- Zip : 32779-4582
- Phone : (321) 439-6444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT4258 | FL |
National Provider Identifier
| NPI | 1861974826 |
|---|---|
| Provider Name | Mr. Shahied Primm |
| First Address | Longwood, FL 32779-4582 |
| Second Address | Longwood, FL 32779-4582 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.