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Organization
GARY SHIENBAUM MD PA
Active
Organization
GARY SHIENBAUM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SHIENBAUM MD (PRESIDENT)
(305) 898-7720
Entity
Organization
Contact information
Practice address
7261 SHERIDAN ST STE 100B, HOLLYWOOD, FL 33024-2708
(954) 251-1802
Mailing address
1429 SHORELINE WAY, HOLLYWOOD, FL 33019-5007
(786) 213-4803
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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