MEDICARE: SHREEVEN LLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1275818726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHREEVEN LLC

Provider Business Mailing Address
First Line	:	1370 E VENICE AVE STE 102
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-9083
Country	:	US
Telephone Number	:	407-724-8960
Fax Number	:	941-412-0027

Provider Business Practice Location Address
First Line	:	1370 E VENICE AVE STE 102
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-9083
Country	:	US
Telephone Number	:	941-412-0026
Fax Number	:	941-412-0027

Authorized Official
Title or Position	:	CEO
Name	:	ZAID ALI
Credential	:
Telephone Number	:	407-724-8960

Provider Enumeration Date	:	10/17/2011
Last Update Date	:	05/29/2026

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Directions to “SHREEVEN LLC ” Practice Location

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