Individual
SAFWAN SHAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY, SUITE 1-800A, PALM COAST, FL 32164-5981
(386) 586-1810
(386) 586-1811
Mailing address
61 MEMORIAL MEDICAL PKWY, SUITE 1-800A, PALM COAST, FL 32164-5981
(386) 586-1810
(386) 586-1811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 036504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039746600
—
FL
Enumeration date
07/07/2006
Last updated
07/08/2007
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