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Individual
LATA SHINTRE
Active
Individual
LATA SHINTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME98055
FL
208000000X
Pediatrics Physician
ME98055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2703864
—
OH
05
—
279924300
—
FL
01
—
AM234V
MEDICARE, PTAN
FL
Enumeration date
12/05/2006
Last updated
03/09/2015
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