Provider Demographics
NPI:1538314919
Name:ADNAN SHARIFF INC
Entity Type:Organization
Organization Name:ADNAN SHARIFF INC
Other - Org Name:FLORIDA FOOT SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:863-357-1166
Mailing Address - Street 1:235 NE 19TH DR
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-1933
Mailing Address - Country:US
Mailing Address - Phone:863-357-1166
Mailing Address - Fax:863-357-0424
Practice Address - Street 1:1008 W SAGAMORE AVE
Practice Address - Street 2:
Practice Address - City:CLEWISTON
Practice Address - State:FL
Practice Address - Zip Code:33440-3420
Practice Address - Country:US
Practice Address - Phone:863-983-2188
Practice Address - Fax:863-357-0424
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADNAN SHARIFF, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-26
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
213E00000X
FLPO 2817213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6201970001Medicare NSC