Individual
MANSOOR PASHA SHOUKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4720 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5860
(954) 606-0911
(954) 497-3857
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN9364840
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9364840
FL
364SF0001X
Family Health Clinical Nurse Specialist
F0914579
FL
Other
Enumeration date
09/29/2014
Last updated
02/25/2025
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