Individual ProviderShaheen MizyedInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464(561) 955-2570PECOS EnrollmentBased on the most recent information from CMS, provider Shaheen Mizyed is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1750886990Provider TypeIndividualFull NameMizyed, ShaheenTitleDr.GenderMaleSole ProprietorNoEnumeration Date3/29/2018Last Updated4/24/2024Contact InformationPractice LocationPractice Address670 Glades Rd Ste 400, Boca Raton, FL 33431-6464Phone(561) 955-2570Fax(561) 955-2572Mailing LocationMailing Address2900 N Military Trl Ste 200, Boca Raton, FL 33431-6308Phone(561) 955-2570Fax(561) 955-2572Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME149929FloridaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer