Healthcare Provider Details

I. General information

NPI: 1326880907
Provider Name (Legal Business Name): RAMI MAHMOUD SHAKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3203
US

IV. Provider business mailing address

PO BOX 100385
GAINESVILLE FL
32610-0385
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0287
  • Fax:
Mailing address:
  • Phone: 352-265-0287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberTRN41483
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: