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Individual

SHAYNE PLOSKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4 COLUMBIA DR, TAMPA, FL 33606-3589
(813) 259-8500
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME95883
FL
207VE0102X
Reproductive Endocrinology Physician
ME95883
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275328600
FL
01
52619
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/19/2006
Last updated
01/28/2015
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