Individual
MRS. SHAMEEM M SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 EAST COMMERCIAL BLVD, FT LAUDERDALE, FL 33334
(954) 938-0006
(954) 938-5201
Mailing address
100 EAST COMMERCIAL BLVD, FT LAUDERDALE, FL 33334
(954) 938-0006
(954) 938-5201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0039910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066453700
—
FL
Enumeration date
04/20/2006
Last updated
10/08/2012
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