Individual
SHAZIA BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
201 HEALTH PARK BLVD STE 215, ST AUGUSTINE, FL 32086-5797
(904) 373-1177
(904) 925-3351
Mailing address
707 1ST ST S APT 604, JACKSONVILLE BEACH, FL 32250-6670
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
1017343
MA
207VX0201X
Gynecologic Oncology Physician
Primary
ME120013
FL
Other
Enumeration date
04/24/2008
Last updated
05/12/2026
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