Healthcare Provider Details

I. General information

NPI: 1992574222
Provider Name (Legal Business Name): ADNAN SHARIFF, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2023
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 PASADENA AVE S STE 2N
SOUTH PASADENA FL
33707-4561
US

IV. Provider business mailing address

235 NE 19TH DR
OKEECHOBEE FL
34972-1933
US

V. Phone/Fax

Practice location:
  • Phone: 727-398-6650
  • Fax: 727-398-6550
Mailing address:
  • Phone: 863-357-1166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

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