Provider Demographics
NPI:1992574222
Name:ADNAN SHARIFF, INC
Entity type:Organization
Organization Name:ADNAN SHARIFF, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
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:
Practice Address - Street 1:1609 PASADENA AVE S STE 2N
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-4561
Practice Address - Country:US
Practice Address - Phone:727-398-6650
Practice Address - Fax:727-398-6550
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADNAN SHARIFF, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty