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Organization

PARKSBIO LAB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENIL SHEKHAT MD (MEDICAL DIRECTOR)
(865) 274-0102
Entity
Organization

Contact information

Practice address
791 PARK OF COMMERCE BLVD STE 300, BOCA RATON, FL 33487-3630
(267) 566-7696
Mailing address
791 PARK OF COMMERCE BLVD STE 300, BOCA RATON, FL 33487-3630

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME107630
MEDICAL LICENSE
FL
Enumeration date
01/04/2021
Last updated
01/04/2021
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