Provider Demographics
NPI:1609118306
Name:SHAMA MASANI MD PA
Entity Type:Organization
Organization Name:SHAMA MASANI MD PA
Other - Org Name:A PLUS FAMILY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALNUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MASANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-943-9080
Mailing Address - Street 1:5010 MILE STRETCH DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-4431
Mailing Address - Country:US
Mailing Address - Phone:727-943-9080
Mailing Address - Fax:727-937-8411
Practice Address - Street 1:5010 MILE STRETCH DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-4431
Practice Address - Country:US
Practice Address - Phone:727-943-9080
Practice Address - Fax:727-937-8411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty