Individual
DR. FLORENCE BATTLE SHAFIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 LAKESIDE BLVD, RICHARDSON, TX 75082-4341
(972) 996-8342
Mailing address
2400 LAKESIDE BLVD, RICHARDSON, TX 75082-4341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019773
GA MEDICAL LICENSE NUMBER
GA
Enumeration date
01/28/2008
Last updated
01/28/2008
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