Individual
SHIRIN SHAFAZAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1500 NW 12TH AVE, JMT-EAST 1007, MIAMI, FL 33136-1028
(305) 243-4664
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME90260
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME90260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2703653-00
—
FL
Enumeration date
08/01/2006
Last updated
02/13/2014
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