MEDICARE: SANA SHAUKAT MD

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	207R00000X	Internal Medicine Physician	ME181121	FL

General Provider Information

NPI Number	:	1205531233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANA SHAUKAT MD

Provider Business Mailing Address
First Line	:	8903 GLADES RD STE K1A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-4010
Country	:	US
Telephone Number	:	561-955-6115
Fax Number	:	833-625-1622

Provider Business Practice Location Address
First Line	:	8903 GLADES RD STE K1A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-4010
Country	:	US
Telephone Number	:	561-955-6115
Fax Number	:	833-625-1622

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

Provider Enumeration Date	:	03/31/2023
Last Update Date	:	06/16/2026

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