MR. SHAKEEL C SHARIF (NPI# 1417099441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417099441 |
| Entity Type | Individual |
| Full Name | MR. SHAKEEL C SHARIF |
| Credential | P.A. |
| Practice Address |
1700 S 23rd St Fort Pierce FL 34950-4803 |
| Mailing Address |
28 Harbour Isle Dr W Unit #304 Fort Pierce FL 34949-2780 |
| Practice Telephone | 7724684533 |
| Mailing Telephone | 7724665447 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9103955 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 S 23RD ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358590 | Daniel Adam Picard | Internal Medicine | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2005-07-05 |
| 1245846013 | Nerlie Pierre | Nurse Anesthetist, Certified Registered | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-09-17 |
| 1548871148 | Jenna Barnes | Physical Therapist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-08-17 |
| 1033729975 | Lawnwood Anesthesia Providers LLC | Anesthesiology | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-08-05 |
| 1851914832 | Gregory Germain | Nurse Anesthetist, Certified Registered | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-05-25 |
| 1912520388 | Cassie Rebekah Paulus | Occupational Therapist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2020-05-20 |
| 1871130427 | Lindsay Bowers | Physician Assistant | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2019-12-03 |
| 1871143578 | Garry Desulme | Nurse Practitioner | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2019-09-14 |
| 1194290601 | Megan Lane | Pharmacist | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2018-10-11 |
| 1669947164 | Julouse Etienne | Registered Nurse | 1700 S 23rd St, Fort Pierce, FL 34950-4899 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982075578 | Brandon Drew Anders | Physician Assistant | 2402 Frist Blvd Ste 102&103, Fort Pierce, FL 34950-4838 | 2015-10-08 |
| 1255813911 | David Mcneely Roberts | Physician Assistant | 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950 | 2018-08-29 |
| 1356494777 | Keyes Surgical Assist Inc | Physician Assistant | 1700 S 23rd St, Fort Pierce, FL 34950-4803 | 2007-01-19 |
| 1467549105 | Lewis Jackson Dorrance | Physician Assistant | 2401 Frist Blvd, #7, 9 & 10, Fort Pierce, FL 34950-4800 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.