Individual
ALISSA MARIE SHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1950 ARLINGTON ST, SUITE 112, SARASOTA, FL 34239-3507
(941) 366-5476
(941) 866-7388
Mailing address
1950 ARLINGTON STREET, SUITE 112, SARASOTA, FL 34239-3508
(941) 366-5476
(941) 866-7388
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME103128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000581900
—
FL
01
—
BI646Z
MEDICARE PTAN
—
01
—
P00718900
MEDICARE RAILROAD PTAN
—
Enumeration date
10/06/2006
Last updated
10/18/2012
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