Individual
DR. SHIRA MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
(772) 419-3810
(772) 419-3811
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS 12230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012309500
—
FL
01
—
14V65
FLORIDA BLUE
FL
Enumeration date
06/23/2010
Last updated
10/15/2020
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