Individual
BRIAN J SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2421 THOMAS DR, PANAMA CITY BEACH, FL 32408-5808
(850) 770-3240
(850) 770-3245
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME63221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097648
—
IL
01
—
371410004
COMMERCIAL
—
Enumeration date
07/29/2006
Last updated
08/07/2019
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