Individual
DR. FARIBA SHAFII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
105 N CHURCH AVE, MULBERRY, FL 33860-2413
(863) 869-8888
(863) 869-8880
Mailing address
105 N CHURCH AVE, MULBERRY, FL 33860-2413
(863) 869-8888
(863) 869-8880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 13663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071504200
—
FL
01
—
59-3419655
TAX ID #
FL
01
—
DN13663
LICENSE #
FL
Enumeration date
11/15/2006
Last updated
01/14/2014
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