Provider Demographics
NPI:1447312053
Name:TASKIN U HAQUE M.D. P.A.
Entity type:Organization
Organization Name:TASKIN U HAQUE M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TASKIN
Authorized Official - Middle Name:U
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-996-8507
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-0197
Mailing Address - Country:US
Mailing Address - Phone:561-996-8507
Mailing Address - Fax:561-996-7331
Practice Address - Street 1:1199 S MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-7810
Practice Address - Country:US
Practice Address - Phone:561-996-8507
Practice Address - Fax:561-996-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33825208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty