Organization · Type 2 NPI

Safwan Shams,m.d.,p.a.

Medical Specialty Clinic/Center · Palm Coast, FL

NPI number 1093860199 Active

Practice location

61 Memorial Medical Pkwy, Suite 1-800A
Palm Coast, FL 32164-5981

Fax (386) 586-1811

Mailing address

PO Box 883
Bunnell, FL 32110-0883

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XME036504 (FL)
Medical Specialty Clinic/Center Primary 261QM2500XME036504 (FL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

19 other providers at this address

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About NPI 1093860199

Safwan Shams,m.d.,p.a.'s National Provider Identifier is 1093860199, issued on Jan 25, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Palm Coast, FL. The record was last updated on Sep 11, 2025.