Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rehana Siddiqui, MD

Individual provider Family Medicine Physician · NPI 1912964040

Dr. Rehana Siddiqui, MD is a General Practice in Port Orange, Florida. Qualified in 1967, 59 years ago. Practices with Town Center Medical Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
59
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1690 Dunlawton Ave Ste 120
Port Orange, FL 32127-8980
Phone: (386) 271-2273
Fax: (386) 271-2274
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME43695 (FL)

Record details

NPI number1912964040
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2006
Last updated in NPPESMarch 7, 2023
Certification dateFebruary 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Group practice Town Center Medical Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Orange