Healthcare Provider Details

I. General information

NPI: 1710508841
Provider Name (Legal Business Name): SHAZIA MAJID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E FLETCHER AVE
TAMPA FL
33613-4613
US

IV. Provider business mailing address

3100 E FLETCHER AVE
TAMPA FL
33613-4613
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4770
  • Fax: 813-467-4243
Mailing address:
  • Phone: 813-467-4770
  • Fax: 813-467-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME162295
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: