Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467166512 Individual Practitioner Male Practitioner

Shihab Al-Deen Mustafa

Physician Assistant • Winter Haven, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shihab Al-Deen Mustafa is a certified Physician Assistant practicing in Winter Haven, FL. With approximately 2 years of clinical experience since completing medical education in 2024, Shihab Al-Deen Mustafa delivers high-quality medical care to the local community at 550 POPE AVE NW STE 200.

Shihab Al-Deen Mustafa is affiliated with Innovacare Florida Urgent Care, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

550 Pope Ave Nw Ste 200

Winter Haven, FL 338814679

Telephone 8632992630
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winter Haven, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Winter Haven, FL (10376 Statewide)

Telehealth Adoption Rate
8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mustafa (2 Years) 2 Yrs
Winter Haven Specialty Average (10.9 Years) 10.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Innovacare Florida Urgent Care, Llc

550 Pope Ave Nw, Winter Haven, FL 338814679

Phone: 8632992630

Innovacare Florida Urgent Care, Llc

1037 S State Rd, Wellington, FL 334146139

Phone: 5617983030

Secondary Practice Locations

305 Dakota Hill Dr

Seffner, FL 335845028

Phone: 8138023964

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Elizabeth Ennis , PA-C

Physician Assistant

NPI 1063733376

Physician Assistant (Certified)

Ashraf Hassan

Family Medicine

NPI 1184883191
Gregory Pittman , PA-C

Physician Assistant - Medical

NPI 1245677103

Physician Assistant (Certified)

Kataceya Lamanna , APRN

Nurse Practitioner - Family

NPI 1245709740

Advanced Practice Registered Nurse

Dr. Paul Wielebinski , MD

Internal Medicine

NPI 1285689620

Doctor of Medicine (M.D.)

Debra Beachy , FNP-BC

Nurse Practitioner - Family

NPI 1417236662

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 27, 2025

Registered at 550 POPE AVE NW STE 200, WINTER HAVEN, FL 338814679 (Tel: 8632992630)

📍
Updated Business Mailing Address February 27, 2025

Registered at 425 W COLONIAL DR STE 303, ORLANDO, FL 328046863 (Tel: 3213436833)

NPI Profile Active January 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2023

Registered at 305 DAKOTA HILL DR, SEFFNER, FL 335845028 (Tel: 8138023964)

📍
Updated Business Mailing Address January 12, 2023

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018

👤
Provider Name / Credentials Updated January 12, 2023

Recorded as SHIHAB AL-DEEN MUSTAFA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 12, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467166512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2023
Last Update: February 27, 2025
Sole Proprietor: No

Mailing Address

425 W Colonial Dr Ste 303

Orlando, FL 328046863

Phone: 3213436833

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.