Provider Demographics
NPI:1417226408
Name:ALEXIS EDWARD SHAFII MD PLLC
Entity type:Organization
Organization Name:ALEXIS EDWARD SHAFII MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SHAFII
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-933-4681
Mailing Address - Street 1:10318 ORANGE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4021
Mailing Address - Country:US
Mailing Address - Phone:813-933-4681
Mailing Address - Fax:
Practice Address - Street 1:10318 ORANGE GROVE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4021
Practice Address - Country:US
Practice Address - Phone:813-933-4681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93623208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty