Individual
DR. MARTIN H SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10035 SW 1ST CT, CORAL SPRINGS, FL 33071-7346
(561) 542-4100
(954) 752-8277
Mailing address
10035 SW 1ST CT, CORAL SPRINGS, FL 33071-7346
(561) 542-4100
(954) 752-8277
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO1208
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO1208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029776300
—
FL
Enumeration date
12/06/2005
Last updated
01/28/2015
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