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Individual

SHANE JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Mailing address
20 W KALEY ST, ORLANDO, FL 32806-2970
(407) 423-2581
(407) 849-6470

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DO01011
RI
2085R0202X
Diagnostic Radiology Physician
Primary
OS17507
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2015
Last updated
11/03/2023
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