Provider Demographics
NPI:1730445834
Name:ANUM CORPORATION
Entity type:Organization
Organization Name:ANUM CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAREEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-240-9207
Mailing Address - Street 1:2401 FRIST BLVD
Mailing Address - Street 2:SUITE 1 & 2
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4831
Mailing Address - Country:US
Mailing Address - Phone:772-240-9207
Mailing Address - Fax:772-465-4288
Practice Address - Street 1:2401 FRIST BLVD
Practice Address - Street 2:SUITE 1 & 2
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4831
Practice Address - Country:US
Practice Address - Phone:772-240-9207
Practice Address - Fax:772-465-4288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty