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Individual

DR. MARK ALAN SHANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-9000
Mailing address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101018362
MI
207P00000X
Emergency Medicine Physician
Primary
OS15927
FL

Other

Enumeration date
06/25/2009
Last updated
03/20/2019
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