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Individual

SUSAN SHULMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9801 GLADES RD, BOCA RATON, FL 33434-3918
(561) 487-9912
(561) 487-5070
Mailing address
9750 NW 33RD ST, CORAL SPRINGS, FL 33065-4042
(954) 752-9220
(954) 755-5025

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS6286
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261330100
FL
Enumeration date
11/18/2005
Last updated
11/04/2011
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