Individual
DR. THOMAS J SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8245 COUNTY ROAD 44 LEG A, SUITE 1, LEESBURG, FL 34788-3751
(352) 314-2929
(352) 314-9747
Mailing address
8245 COUNTY ROAD 44 LEG A, SUITE 1, LEESBURG, FL 34788-3751
(352) 314-2929
(352) 314-9747
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME0073924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252644100
—
FL
01
—
41838
BLUE CROSS AND BLUESHIELD
FL
01
—
5923541
AETNA
FL
Enumeration date
01/25/2006
Last updated
03/17/2014
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