Organization
SHAFA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAHOOR A WASEEM M.D. (PHYSICIAN)
(386) 362-6405
Entity
Organization
Contact information
Practice address
609 5TH ST SW, SUITE #3, LIVE OAK, FL 32064-2216
(386) 362-6405
(386) 362-6403
Mailing address
PO BOX 38, LIVE OAK, FL 32064-0038
(386) 362-6405
(386) 362-6403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME73901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194811893
DANA NPI
FL
01
—
1558303818
WASEEM NPI
FL
Enumeration date
07/09/2006
Last updated
07/10/2007
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