Individual
DR. DAVID SHENASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 SW 84TH AVE STE 102, PLANTATION, FL 33324-2729
(954) 720-1530
(954) 720-6540
Mailing address
220 SW 84TH AVE STE 102, PLANTATION, FL 33324-2729
(954) 349-2345
(954) 641-1086
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
ME105233
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME105233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002462700
—
FL
01
—
002876700
GROUP MEDICAID
FL
Enumeration date
10/03/2008
Last updated
09/24/2024
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