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Individual
MICHAEL ROY SHOOK
Active
Individual
MICHAEL ROY SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME50883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03834
BLUE SHIELD
FL
01
—
P00011966
RR MEDICARE
FL
01
—
P00011967
RR MEDICARE
FL
Enumeration date
09/08/2006
Last updated
07/08/2007
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