Organization
SAFWAN SHAMS,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAFWAN SHAMS M.D. (PRESIDENT)
(386) 586-1810
Entity
Organization
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY, SUITE 1-800A, PALM COAST, FL 32164-5981
(386) 586-1810
(386) 586-1811
Mailing address
PO BOX 883, BUNNELL, FL 32110-0883
(386) 586-1810
(386) 586-1811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME036504
FL
261QM2500X
Medical Specialty Clinic/Center
Primary
ME036504
FL
Other
Enumeration date
01/25/2007
Last updated
09/11/2025
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