# LESLIE SHAWN D.O. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295024636
- **Authorized official:** LESLIE GORDON SHAWN D.O. (PHYSICIAN)
- **Authorized official phone:** (954) 442-3434

## Contact information

- **Practice address:** 400 N HIATUS RD, SUITE 201, PEMBROKE PINES, FL 33026-5214
- **Practice address phone:** (954) 442-3434
- **Practice address fax:** (954) 441-4425
- **Mailing address:** 400 N HIATUS RD, SUITE 201, PEMBROKE PINES, FL 33026-5214
- **Mailing address phone:** (954) 442-3434
- **Mailing address fax:** (954) 441-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/06/2011