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Individual

DR. SHAKIRA L PAYNE-BLACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-6824
(561) 422-6827
Mailing address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-6824
(561) 422-6827

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA07987600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114316
NJ
Enumeration date
07/17/2006
Last updated
05/07/2014
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