Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | RL15074 | ND |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME149997 | FL |
NPI | 1629555966 |
---|---|
Provider Name | Sohail Mohammed Shariff |
First Address | West Palm Beach, FL 33407-2387 |
Second Address | West Palm Beach, FL 33407-2387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2018 |
Last Update Date | 01/07/2021 |