Provider Demographics
NPI:1962142125
Name:SHAFIQ, LEILA (MD)
Entity type:Individual
Prefix:DR
First Name:LEILA
Middle Name:
Last Name:SHAFIQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10453 STELLING DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-7594
Mailing Address - Country:US
Mailing Address - Phone:813-709-7771
Mailing Address - Fax:813-821-9782
Practice Address - Street 1:427 S PARSONS AVE STE 120
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5252
Practice Address - Country:US
Practice Address - Phone:813-443-3399
Practice Address - Fax:813-381-3398
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME171377207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine