Organization
BLANE T SHATKIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLANE T SHATKIN M.D. (PRESIDENT)
(954) 384-9997
Entity
Organization
Contact information
Practice address
1604 TOWN CENTER CIR, SUITE C, WESTON, FL 33326-3640
(954) 384-9997
(954) 384-6760
Mailing address
1604 TOWN CENTER CIR, SUITE C, WESTON, FL 33326-3640
(954) 384-9997
(954) 384-6760
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0059767
FL
Other
Enumeration date
02/08/2012
Last updated
05/10/2012
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