Individual
DR. SHAHID RIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 PARK PLACE BLVD, STE A, DAVENPORT, FL 33837-6857
(863) 421-4700
(863) 421-4715
Mailing address
108 PARK PLACE BLVD, STE A, DAVENPORT, FL 33837-6857
(863) 421-4700
(863) 421-4715
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME75134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258383600
—
FL
Enumeration date
12/19/2005
Last updated
10/11/2018
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