Individual
SHARIQ LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 BOULDER ROCK DR, PALM COAST, FL 32137-8555
(770) 850-8464
Mailing address
2550 WINDY HILL RD SE, SUITE 206, MARIETTA, GA 30067-8665
(770) 850-8464
(770) 783-8026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME113190
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME113190
FL
208VP0000X
Pain Medicine Physician
Primary
ME113190
FL
208VP0014X
Interventional Pain Medicine Physician
ME113190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010891600
—
FL
Enumeration date
02/13/2006
Last updated
09/02/2022
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