Healthcare Provider Details

I. General information

NPI: 1275786568
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

235 NE 19TH DR
OKEECHOBEE FL
34972-1933
US

IV. Provider business mailing address

1008 W SAGAMORE AVE
CLEWISTON FL
33440-3420
US

V. Phone/Fax

Practice location:
  • Phone: 863-357-1166
  • Fax: 863-357-0424
Mailing address:
  • Phone: 863-357-1166
  • 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