Individual
SHADIN DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2700 HEALING WAY STE 300, WESLEY CHAPEL, FL 33543-5453
(813) 333-1186
Mailing address
3345 S DALE MABRY HWY, TAMPA, FL 33629-7817
(813) 234-0100
(813) 234-0115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9108802
FL
363AM0700X
Medical Physician Assistant
PA9108802
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015398600
—
FL
Enumeration date
07/24/2015
Last updated
08/30/2023
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