Individual
RANDY SHAMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 DR MARTIN LUTHER KING JR ST N, 1705, ST PETERSBURG, FL 33702-3041
(727) 579-0930
Mailing address
9100 DR MARTIN LUTHER KING JR ST N, 1705, ST PETERSBURG, FL 33702-3041
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
FL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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