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Organization
SHAYNE N MOYLES DO PL
Active
Organization
SHAYNE N MOYLES DO PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNE NICOLE MOYLES DO (MANAGING MEMBER)
(754) 234-3690
Entity
Organization
Contact information
Practice address
1615 PASADENA AVE S, SUITE 100, SOUTH PASADENA, FL 33707-4516
(727) 504-0044
Mailing address
PO BOX 67061, SAINT PETERSBURG, FL 33736-7061
(727) 504-0044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9968
FL
Other
Enumeration date
08/11/2008
Last updated
10/27/2008
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