Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shihab Al-Deen Mustafa

Individual provider Physician Assistant · NPI 1467166512

Shihab Al-Deen Mustafa is a Physician Assistant in Winter Haven, Florida. Qualified in 2024, 2 years ago. Practices with Innovacare Florida Urgent Care, LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679
Phone: (863) 299-2630
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 Dakota Hill Dr, Seffner, FL 33584-5028 — (813) 802-3964

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467166512
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 12, 2023
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Innovacare Florida Urgent Care, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winter Haven