Provider Demographics
NPI:1548601636
Name:NAVEED SHAFI, MD
Entity Type:Organization
Organization Name:NAVEED SHAFI, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-416-1145
Mailing Address - Street 1:2295 NW CORPORATE BLVD
Mailing Address - Street 2:#245
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7373
Mailing Address - Country:US
Mailing Address - Phone:561-988-0545
Mailing Address - Fax:
Practice Address - Street 1:1900 GLADES RD
Practice Address - Street 2:#100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7378
Practice Address - Country:US
Practice Address - Phone:561-416-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INJURY TREATMENT CENTER OF SOUTH FLORIDA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85328332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site