Individual
REGINA SHABASHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 374-6074
Mailing address
1717 NW 23RD AVE APT 4C, GAINESVILLE, FL 32605-3004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME90925
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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