Organization Name: | ADNAN SHARIFF DPM PLLC |
NPI Number: | 1205089943 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADNAN SHARIFF (OWNER) |
Mailing Address: | 235 Ne 19th Dr Okeechobee |
State: | FL US |
Postal Code: | 349721933 |
Phone Number: | 8633571166 |
Fax Number: | 8633570424 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO 2817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |