Sherin Nazme Mubarak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106943 Issued in FL

Practice address

1277 N Semoran Blvd
Suite 101
Orlando, FL 32807-3569

Phone

(407) 730-8970

Fax

(407) 730-8971

NPI assigned

Aug 22, 2013

Last updated

Aug 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1982038246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948479",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327948479",
            "telephone_number": "407-730-2370",
            "fax_number": "407-730-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N SEMORAN BLVD",
            "address_2": "SUITE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073569",
            "telephone_number": "407-730-8970",
            "fax_number": "407-730-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBARAK",
        "first_name": "SHERIN",
        "middle_name": "NAZME",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Mt.Joy, PA-C
• MTD Galaxy LLC. (My Passion Home Care)
• MTM on the Go
• Jianlong Mu, M.D
• Norah Mubarak, DO
• Mubashir a Chaudhry DMD PLLC (Orlando Pediatric Dentistry)
• Nailah Mubin
• David Anthony Mucci, M.D.
• Connie Mudarra, OTR
• Muddrose Holdings Inc (HomeWell Care Services)

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.