Individual
SHAQUAN RAYSHON BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1132 NW 81ST TER, PLANTATION, FL 33322-5713
(434) 579-6178
Mailing address
1132 NW 81ST TER, PLANTATION, FL 33322-5713
(434) 579-6178
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9120517.
FL
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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