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Organization
IRA M SHULMAN MD PA
Active
Organization
IRA M SHULMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA M SHULMAN MD (PHYSICIAN PRESIDENT)
(954) 792-5750
Entity
Organization
Contact information
Practice address
333 NW 70 AVE, STE 120, PLANTATION, FL 33317
(954) 792-5750
(954) 581-0567
Mailing address
333 NW 70 AVE, STE 120, PLANTATION, FL 33317
(954) 792-5750
(954) 581-0567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000960
AETNA
FL
01
—
203800
AVMED
FL
05
—
372126400
—
FL
01
—
78067
BLUECROSS BLUE SHIELD
FL
Enumeration date
08/21/2006
Last updated
05/18/2010
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