Organization
SHAH SHAREEF, D.O., LLC
Active
Other names
Coral Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHJAHAN SHAREEF D.O. (AMBR)
(772) 240-9190
Entity
Organization
Contact information
Practice address
5741 BEE RIDGE RD STE 570, SARASOTA, FL 34233-5080
(941) 203-8757
(941) 552-8647
Mailing address
5741 BEE RIDGE RD STE 570, SARASOTA, FL 34233-5080
(941) 203-8757
(941) 552-8647
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15795
DOH
FL
Enumeration date
06/13/2019
Last updated
08/04/2023
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