MEDICARE: NADA SHOKOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZD0900X	Dermatopathology (Pathology) Physician	ME178896	FL

General Provider Information

NPI Number	:	1619802535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADA SHOKOR

Provider Business Mailing Address
First Line	:	2927 POINTEVIEW DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-5343
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2927 POINTEVIEW DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-5343
Country	:	US
Telephone Number	:	813-550-9754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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Directions to “ NADA SHOKOR ” Practice Location

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