# SAFWAN SHAMS,M.D.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093860199
- **Authorized official:** DR. SAFWAN SHAMS M.D. (PRESIDENT)
- **Authorized official phone:** (386) 586-1810

## Contact information

- **Practice address:** 61 MEMORIAL MEDICAL PKWY, SUITE 1-800A, PALM COAST, FL 32164-5981
- **Practice address phone:** (386) 586-1810
- **Practice address fax:** (386) 586-1811
- **Mailing address:** PO BOX 883, BUNNELL, FL 32110-0883
- **Mailing address phone:** (386) 586-1810
- **Mailing address fax:** (386) 586-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | ME036504 | FL | — |
| 261QM2500X | Medical Specialty Clinic/Center | ME036504 | FL | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 09/11/2025