Shams Javani, Navid
Shams Javani, Navid is an individual health care provider with primary practice located at 1570 Island Ln , Fleming Island FL 32003-7453. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shams Javani, Navid can be contacted via phone (904) 264-1204.Contact Information
Primary practice address
1570 Island Ln
Fleming Island FL 32003-7453
Phone: (904) 264-1204
Fax: (904) 264-1727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A141868 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME145147 | Florida |
Profile Details
| NPI number | 1790104800 |
|---|---|
| LBN Legal business name | Shams Javani, Navid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2014 |
| Last updated | Sep 30th, 2020 - about 6 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 | 1790104800 | NPPES |
| Florida | MEDICAID | 107711400 |
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