Individual
DR. SHAWN PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3480 POLYNESIAN ISLE BLVD, KISSIMMEE, FL 34746-4654
(877) 352-5864
(407) 507-2616
Mailing address
3480 POLYNESIAN ISLE BLVD, KISSIMMEE, FL 34746-4654
(877) 352-5864
(407) 507-2479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11481500
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA11481500
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME168765
FL
207RP1001X
Pulmonary Disease Physician
23MA11481500
NJ
Other
Enumeration date
04/20/2017
Last updated
04/01/2026
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