Healthcare Provider Details

I. General information

NPI: 1841266723
Provider Name (Legal Business Name): NAVEED SHAFI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E CYPRESS CREEK RD STE 304
FT LAUDERDALE FL
33334-3522
US

IV. Provider business mailing address

PO BOX 10553
POMPANO BEACH FL
33061
US

V. Phone/Fax

Practice location:
  • Phone: 954-491-7758
  • Fax: 954-938-5339
Mailing address:
  • Phone: 954-600-1670
  • Fax: 954-786-9210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME85328
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0085328
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License NumberME85328
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: