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Organization
SHENANDOAH MEDICAL UNIVERSITY LLC
Active
Organization
SHENANDOAH MEDICAL UNIVERSITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE FULLER MBS (CEO)
(561) 275-0427
Entity
Organization
Contact information
Practice address
401 N ROSEMARY AVE, WEST PALM BEACH, FL 33401-4133
(561) 223-9191
Mailing address
PO BOX 741424, BOYNTON BEACH, FL 33474-1424
(561) 223-9191
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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