Provider Demographics
NPI:1467331686
Name:RABAH, ASSAAD
Entity type:Individual
Prefix:
First Name:ASSAAD
Middle Name:
Last Name:RABAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2892 MIDDLETON CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-5642
Mailing Address - Country:US
Mailing Address - Phone:321-347-6435
Mailing Address - Fax:
Practice Address - Street 1:2892 MIDDLETON CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-5642
Practice Address - Country:US
Practice Address - Phone:321-347-6435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9646851163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse