Individual
SHARIFA K MADDIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 W HIBISCUS BLVD STE 131, MELBOURNE, FL 32901
(321) 234-4200
Mailing address
1800 W HIBISCUS BLVD STE 131, MELBOURNE, FL 32901-2633
(321) 234-4200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME97053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME97053
MEDICAL LICENSE
FL
Enumeration date
11/03/2006
Last updated
04/01/2019
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