Individual
LESLIE G SHAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 NORTH HIATUS ROAD, SUITE 201, PEMBROKE PINES, FL 33026
(954) 442-3434
(954) 441-4425
Mailing address
400 NORTH HIATUS ROAD, SUITE 201, PEMBROKE PINES, FL 33026
(954) 442-3434
(954) 441-4425
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0003957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378046-00
—
FL
Enumeration date
05/08/2006
Last updated
11/23/2009
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