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Individual

MR. RONALD I SHORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME98745
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME98745
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278641900
FL
05
3069183
TN
Enumeration date
12/07/2005
Last updated
10/23/2014
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