Healthcare Provider Details

I. General information

NPI: 1053015099
Provider Name (Legal Business Name): SHIRAN DANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 N FLAMINGO RD
PEMBROKE PINES FL
33028-1014
US

IV. Provider business mailing address

2420 NE 202ND ST
MIAMI FL
33180-1842
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-5000
  • Fax:
Mailing address:
  • Phone: 786-253-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME181271
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: