Provider Demographics
NPI:1184813701
Name:ADNAN SHARIFF DPM PLLC
Entity type:Organization
Organization Name:ADNAN SHARIFF DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
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:772-595-6065
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:
Practice Address - Street 1:235 NE 19 DRIVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1933
Practice Address - Country:US
Practice Address - Phone:863-357-1166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2817213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340060301Medicaid
FLAH151Medicare PIN
FL6046190001Medicare NSC