# MARWAN M. SHAYKH, M.D., P.A.

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

## Provider details

- **NPI number:** 1902109481
- **Authorized official:** DR. MARWAN M SHAYKH M.D. (PHYSICIAN)
- **Authorized official phone:** (904) 398-1473

## Contact information

- **Practice address:** 3627 UNIVERSITY BLVD S, SUITE 450, JACKSONVILLE, FL 32216-4230
- **Practice address phone:** (904) 398-1473
- **Practice address fax:** (904) 399-3436
- **Mailing address:** 3627 UNIVERSITY BLVD S, SUITE 450, JACKSONVILLE, FL 32216-4230
- **Mailing address phone:** (904) 398-1473
- **Mailing address fax:** (904) 399-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VE0102X | Reproductive Endocrinology Physician | 0101232643 | VA | — |
| 207VE0102X | Reproductive Endocrinology Physician | 40218 | FL | — |
| 207VX0000X | Obstetrics Physician | 40218 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 12/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 253855500 | — | FL |