Individual
DANY SHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8427
(386) 668-2221
(386) 668-2228
Mailing address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8427
(386) 668-2221
(386) 668-2228
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
5319
SD
207RG0100X
Gastroenterology Physician
Primary
ME140883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234161
—
IA
01
—
2048379
ARAZ/ AMERICA'S PPO
SD
01
—
233250
MIDLANDS CHOICE
SD
05
—
260490600
—
MN
01
—
2900336
MEDICA
SD
01
—
36776
SANFORD HEALTH PLAN
SD
01
—
440R1SH
BLUE CROSS
MN
05
—
46022474338
—
NE
01
—
4995448
BLUE CROSS
SD
01
—
5319
DAKOTACARE
SD
01
—
57105B007
WPS TRICARE
SD
01
—
769171040477
PREFERRED ONE
SD
01
—
92411422906
PRIMEWEST
MN
01
—
HP40574
HEALTHPARTNERS
SD
01
—
P00177572
RR MEDICARE
SD
Enumeration date
02/15/2006
Last updated
07/10/2019
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