Latif, Shariq

Latif, Shariq is an individual health care provider with primary practice located at 3 Boulder Rock Dr , Palm Coast FL 32137-8555. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Latif, Shariq can be contacted via phone (770) 850-8464.

Contact Information

Primary practice address
3 Boulder Rock Dr Palm Coast FL 32137-8555
Phone: (770) 850-8464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME113190 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME113190 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME113190 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME113190 Florida

Profile Details

NPI number 1275506818
LBN Legal business name Latif, Shariq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 2nd, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275506818 NPPES
Florida MEDICAID 010891600

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