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Shafa Clinic
Specialist in Live Oak, Florida
NPI 1407889629

Shafa Clinic is a Specialist based in Live Oak, FL. Shafa Clinic practices in Live Oak, FL. The NPI Number for Shafa Clinic is 1407889629 and holds a License No. ME73901 (Florida).

The current practice location address for Shafa Clinic is 609 5Th St Sw, Live Oak, FL and can be reached out via phone at 386-362-6405 and via fax at 386-362-6403.

Location: 609 5Th St Sw, Live Oak, FL, 32064-0038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407889629
Provider Name
Shafa Clinic
Credential
Provider Entity Type
Organization
Address
609 5Th St Sw, Live Oak, FL, 32064-0038
Phone Number
386-362-6405
Fax Number
386-362-6403
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194811893 01 FL DANA NPI
1558303818 01 FL WASEEM NPI
institution
Provider Business Practice Location Address Details
Address
609 5Th St Sw
City
Live Oak
State
Florida
Zip
32064-2216
Phone Number
386-362-6405
Fax Number
386-362-6403
person
Provider Business Mailing Address Details
Address
609 5Th St Sw
City
Live Oak
State
Florida
Zip
32064-2216
Phone Number
386-362-6405
Fax Number
386-362-6403
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME73901 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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