Provider Demographics
NPI:1639864424
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:
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 1:10863 PARK BLVD STE A
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-5423
Practice Address - Country:US
Practice Address - Phone:727-398-6650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADNAN SHARIFF, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty