Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1083858930
Shawnette Simone SaddlerM.D.
Active
NPI Number1083858930
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1083858930
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2009-04-22
Last Updated2019-03-28
Mailing Address1700 Nw 49th St Ste 125
Fort Lauderdale, FL 33309-3750
United States
Phone: (954) 320-3390 | Fax: (954) 340-4557
📍 View Map
Primary Practice Address9750 Nw 33rd St Ste 202
Coral Springs, FL 33065-4081
United States
Phone: (954) 320-3390 | Fax: (954) 340-4557
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL003801900-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208000000X – PediatricsFLME109668
No208M00000X – HospitalistFLME109668
Yes207R00000X – Internal MedicineFLME109668
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About NPI 1083858930

Shawnette Simone Saddler M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083858930. The primary specialty listed is Internal Medicine. The provider is located in Coral Springs, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-04-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083858930?

NPI 1083858930 belongs to Shawnette Simone Saddler M.D., a Internal Medicine in Coral Springs, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083858930 active?

The current status of NPI 1083858930 in the NPPES registry is Active. The record was last updated on 2019-03-28.

What specialty is NPI 1083858930?

NPI 1083858930 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083858930?

You can verify NPI 1083858930 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083858930?

The primary practice address on file for NPI 1083858930 is 9750 Nw 33rd St Ste 202, Coral Springs, FL 33065-4081. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083858930 issued?

NPI 1083858930 was first issued (enumerated) on 2009-04-22. The NPPES record was last updated on 2019-03-28.

Practice Location Map

Shawnette Simone Saddler is located at 9750 Nw 33rd St Ste 202, Coral Springs, FL. Use the map below to find directions or verify the practice location.

📍 9750 Nw 33rd St Ste 202, Coral Springs, FL 33065-4081  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Shawnette Simone Saddler. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083858930. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
PediatricsME109668FL
HospitalistME109668FL
Internal MedicineME109668FL
Data Verified from CMS NPPES Last synced: 2026-08-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162