# IRA M SHULMAN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801902242
- **Authorized official:** DR. IRA M SHULMAN MD (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (954) 792-5750

## Contact information

- **Practice address:** 333 NW 70 AVE, STE 120, PLANTATION, FL 33317
- **Practice address phone:** (954) 792-5750
- **Practice address fax:** (954) 581-0567
- **Mailing address:** 333 NW 70 AVE, STE 120, PLANTATION, FL 33317
- **Mailing address phone:** (954) 792-5750
- **Mailing address fax:** (954) 581-0567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 22186 | FL | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 05/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2000960 | AETNA | FL |
| 01 | — | 203800 | AVMED | FL |
| 05 | — | 372126400 | — | FL |
| 01 | — | 78067 | BLUECROSS BLUE SHIELD | FL |