Individual
DR. MICHAEL ADAM MASHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 NE 20TH TER STE 303, FORT LAUDERDALE, FL 33308-4510
(954) 771-8177
Mailing address
PO BOX 162743, ALTAMONTE SPRINGS, FL 32716-2743
(954) 580-4084
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME141826
FL
Other
Enumeration date
05/12/2014
Last updated
02/02/2021
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