Healthcare Provider Details

I. General information

NPI: 1821241118
Provider Name (Legal Business Name): ADNAN SHARIFF DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2632 W INDIANTOWN RD
JUPITER FL
33458-5889
US

IV. Provider business mailing address

2632 W INDIANTOWN RD
JUPITER FL
33458-5889
US

V. Phone/Fax

Practice location:
  • Phone: 561-340-3132
  • Fax: 863-357-0424
Mailing address:
  • Phone: 561-340-3132
  • Fax: 863-357-0424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 2817
License Number StateFL

VIII. Authorized Official

Name: ADNAN SHARIFF
Title or Position: OWNER
Credential: DPM
Phone: 863-357-1166