Individual
ITZHAK I SHASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 N OLIVE AVE, WEST PALM BEACH, FL 33401-3515
(561) 655-4334
(561) 655-9449
Mailing address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0044363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069346400
—
FL
01
—
1078157
WELLCARE
FL
01
—
1999249
CIGNA
FL
01
—
217581
AVMED
FL
01
—
4008202
AETNA
FL
01
—
4395
DIMENSION
FL
01
—
61379
BCBS
FL
01
—
P01607923
RR MEDICARE
FL
Enumeration date
09/12/2006
Last updated
01/13/2022
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