Individual
DR. SHANE MCENTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 CENTERVILLE RD STE 504, TALLAHASSEE, FL 32308-4640
(850) 216-0100
Mailing address
1549 ESCADRILLE DR, TALLAHASSEE, FL 32308-4788
(808) 354-1667
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
R9255
TX
Other
Enumeration date
03/20/2007
Last updated
06/17/2024
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