Active NPI
Maryam Pesaran Sharif
- Chiropractor
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH15568
- Practice address
- 450 W State Rd 434 # 2030
Longwood, FL 32750 - Phone
- (321) 999-7311
- NPI assigned
- Jul 30, 2025
- Last updated
- Nov 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH15568 | FL | Primary |
Addresses
Primary practice location
450 W State Rd 434 # 2030
Longwood, FL 32750
Mailing address
450 W State Rd 434 # 2030
Longwood, FL 32750
Phone (321) 999-7311
Other practice location 1
1277 N Semoran Blvd
Orlando, FL 32807-3569
Phone (321) 999-7311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Canadian Memorial Chiropractic College, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
450 W State Rd
434 Suite 2030
Longwood, FL 32750-5187
Phone (321) 999-7311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaf Medical Group | Chiropractor | Current | Accepting new patients |
Locations
450 W State Road 434
Ste 2030
Longwood, FL 32750
Phone (321) 206-8100
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Longwood, FL
- NPI 1073240016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1922981687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W STATE RD 434 # 2030",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "321-999-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W STATE RD 434 # 2030",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "321-999-7311"
}
],
"practiceLocations": [
{
"address_1": "1277 N Semoran Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328073569",
"country_code": "US",
"telephone_number": "321-999-7311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PESARAN SHARIF",
"first_name": "MARYAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH15568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.