Shafii, Fariba
Shafii, Fariba is an sole proprietor health care provider with primary practice located at 105 N Church Ave , Mulberry FL 33860-2413. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shafii, Fariba can be contacted via phone (863) 869-8888.Contact Information
Primary practice address
105 N Church Ave
Mulberry FL 33860-2413
Phone: (863) 869-8888
Fax: (863) 869-8880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 13663 | Florida |
Profile Details
| NPI number | 1558433490 |
|---|---|
| LBN Legal business name | Shafii, Fariba |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 14th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558433490 | NPPES |
| Florida | MEDICAID | 071504200 | |
| Florida | Other | 59-3419655 | |
| Florida | Other | DN13663 |
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