Organization
MARVIN SHIENBAUM, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN F SHIENBAUM M.D. (OWNER)
(813) 681-5709
Entity
Organization
Contact information
Practice address
500 VONDERBURG DR STE 110W, BRANDON, FL 33511-5969
(813) 681-5709
(813) 681-4984
Mailing address
500 VONDERBURG DR STE 110W, BRANDON, FL 33511-5969
(813) 681-5709
(813) 681-4984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0038805
FL
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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