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Organization
SHAWN T. EGAN, PA
Active
Organization
SHAWN T. EGAN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN T. EGAN DC, PA (CHIROPRACTOR)
(321) 254-3630
Entity
Organization
Contact information
Practice address
1310 W EAU GALLIE BLVD STE A, MELBOURNE, FL 32935-5300
(321) 254-3630
(321) 242-8176
Mailing address
1310 W EAU GALLIE BLVD STE A, MELBOURNE, FL 32935-5300
(321) 254-3630
(321) 242-8176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380033400
—
FL
01
—
70718
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
01/28/2011
Last updated
09/05/2012
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