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Organization
SHAKIRA HUSAIN MD PA
Active
Organization
SHAKIRA HUSAIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKIRA HUSAIN M.D. (OWNER)
(904) 217-3545
Entity
Organization
Contact information
Practice address
100 WHETSTONE PL, STE 206, ST AUGUSTINE, FL 32086-5774
(904) 217-3545
(904) 562-3282
Mailing address
100 WHETSTONE PL, ST AUGUSTINE, FL 32086-5774
(904) 296-1160
(904) 483-5852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME68353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003341600
—
FL
01
—
DE3583
RAILROAD MEDICARE
FL
Enumeration date
09/20/2007
Last updated
05/03/2012
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