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Individual

MR. STANLEY S SHAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
232 BULLARD PKWY, TEMPLE TERRACE, FL 33617-5512
(813) 985-2811
(813) 985-3045
Mailing address
232 BULLARD PKWY, TEMPLE TERRACE, FL 33617
(813) 985-2811
(813) 985-3045

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
PO1469
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058732000
FL
Enumeration date
02/01/2006
Last updated
07/16/2010
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