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Individual

CODY LAMAR SHUMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 355-5403
(954) 355-5427
Mailing address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 355-5403
(954) 355-5427

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
203091
LA

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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