# SHANAHAN PODIATRY PA

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

## Provider details

- **NPI number:** 1366630220
- **Authorized official:** MRS. MARGARET JULIA HENRY (AR TECHNOLOGIES)
- **Authorized official phone:** (813) 685-6226

## Contact information

- **Practice address:** 3909 GALEN CT, SUITE 103, SUN CITY CENTER, FL 33573-6824
- **Practice address phone:** (813) 634-0664
- **Practice address fax:** (813) 634-0668
- **Mailing address:** 3909 GALEN CT, SUITE 103, SUN CITY CENTER, FL 33573-6824
- **Mailing address phone:** (813) 634-0664
- **Mailing address fax:** (813) 634-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3134 | FL | Yes |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 12/12/2012