Provider Demographics
NPI:1366567166
Name:TASMINA SHEIKH M D P A
Entity type:Organization
Organization Name:TASMINA SHEIKH M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-625-9695
Mailing Address - Street 1:4600 MILITARY TRAIL
Mailing Address - Street 2:STE 221
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4813
Mailing Address - Country:US
Mailing Address - Phone:561-625-9695
Mailing Address - Fax:561-625-9745
Practice Address - Street 1:4600 MILITARY TRAIL
Practice Address - Street 2:STE 221
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4813
Practice Address - Country:US
Practice Address - Phone:561-625-9695
Practice Address - Fax:561-625-9745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00804042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06027OtherBCBS
FL262302100Medicaid
FLME0080404OtherFL LICENSE
FLME0080404OtherFL LICENSE
FL262302100Medicaid
FL06027OtherBCBS