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Individual

DR. RICHARD L. SHURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7300 SANDLAKE COMMONS BLVD, SUITE 127, ORLANDO, FL 32819-8050
(407) 345-1646
(407) 351-2908
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-1300

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME0053103
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME0053103
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048130100
FL
01
05858
BC/BS
FL
01
200014790
RAILROAD
FL
Enumeration date
07/15/2005
Last updated
10/16/2014
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