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Individual
DR. SHAYNE NICOLE MOYLES
Active
Individual
DR. SHAYNE NICOLE MOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000877600
—
FL
01
—
BH963V
MEDICARE PTAN
FL
Enumeration date
01/14/2008
Last updated
01/04/2019
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