=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053522862
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHAZIA ZAFAR MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2007
-----------------------------------------------------
Last Update Date | 05/22/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 N HIATUS RD STE 110
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33026-3094
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-883-2500
-----------------------------------------------------
Fax | 954-538-0304
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3850 WINDMILL LAKES RD
-----------------------------------------------------
City | WESTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33332-2107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-883-2500
-----------------------------------------------------
Fax | 954-538-0304
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | ME95785
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------