| Shahina Javeed Md Pa | |
|
4904 Moog Rd Holiday FL 34690-1857 | |
| (727) 934-5765 | |
| (727) 943-0486 |
| Full Name | Shahina Javeed Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4904 Moog Rd, Holiday, Florida |
| Authorized Official Name and Position | Debra K Kleinschmidt (OFFICE MANAGER) |
| Authorized Official Contact | 7279345765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahina Javeed Md Pa 4904 Moog Rd Holiday FL 34690-1857 Ph: (727) 934-5765 | Shahina Javeed Md Pa 4904 Moog Rd Holiday FL 34690-1857 Ph: (727) 934-5765 |
| NPI Number | 1275785776 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 02/19/2009 |
| Medicare PECOS PAC ID | 5991842163 |
|---|---|
| Medicare Enrollment ID | O20091020000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275785776 | NPI | - | NPPES |
| 1457354474 | Other | FL | INDIVIDUAL NPI |
| 257277000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0070915 (Florida) | Primary |
| Provider Name | Shahina Javeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457354474 PECOS PAC ID: 1254478423 Enrollment ID: I20100315000658 |
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