Healthcare Provider Details

I. General information

NPI: 1275818726
Provider Name (Legal Business Name): SHREEVEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 E VENICE AVE STE 102
VENICE FL
34285-9083
US

IV. Provider business mailing address

1370 E VENICE AVE STE 102
VENICE FL
34285-9083
US

V. Phone/Fax

Practice location:
  • Phone: 941-412-0026
  • Fax: 941-412-0027
Mailing address:
  • Phone: 407-724-8960
  • Fax: 941-412-0027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ZAID ALI
Title or Position: CEO
Credential:
Phone: 407-724-8960