MEDICARE: ARIF SHAKOOR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	ME0057971	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	10565	OTHER	FL	BLUE CROSS BLUE SHIELD FL

General Provider Information

NPI Number	:	1114951597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIF SHAKOOR M.D.

Provider Business Mailing Address
First Line	:	2257 HWY 441 NORTH
Second Line	:	SUITE C
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972
Country	:	US
Telephone Number	:	863-357-2300
Fax Number	:	863-824-0064

Provider Business Practice Location Address
First Line	:	2257 HWY 441 NORTH
Second Line	:	SUITE C
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972
Country	:	US
Telephone Number	:	863-357-2300
Fax Number	:	863-824-0064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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