# GARY SHIENBAUM MD PA

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

## Provider details

- **NPI number:** 1457918625
- **Authorized official:** GARY SHIENBAUM MD (PRESIDENT)
- **Authorized official phone:** (305) 898-7720

## Contact information

- **Practice address:** 7261 SHERIDAN ST STE 100B, HOLLYWOOD, FL 33024-2708
- **Practice address phone:** (954) 251-1802
- **Mailing address:** 1429 SHORELINE WAY, HOLLYWOOD, FL 33019-5007
- **Mailing address phone:** (786) 213-4803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2019
- **Last updated:** 05/23/2019