Healthcare Provider Details

I. General information

NPI: 1619163300
Provider Name (Legal Business Name): ASHRAF EL-SHALAKANY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2007
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 N UNIVERSITY DR SUITE 420
CORAL SPRINGS FL
33065-1405
US

IV. Provider business mailing address

PO BOX 8314
CORAL SPRINGS FL
33075-8314
US

V. Phone/Fax

Practice location:
  • Phone: 954-340-5178
  • Fax: 954-340-6732
Mailing address:
  • Phone: 954-340-5178
  • Fax: 954-340-6732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME 87739
License Number StateFL

VIII. Authorized Official

Name: DR. ASHRAF EL-SHALAKANY
Title or Position: OWNER
Credential: MD
Phone: 954-340-5178