Individual
ANITA R SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
871 VENETIA BAY BLVD STE 115, VENICE, FL 34285-8049
(941) 202-1900
(941) 786-3358
Mailing address
871 VENETIA BAY BLVD STE 115, VENICE, FL 34285-8049
(941) 202-1900
(941) 786-3358
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME106689
FL
Other
Enumeration date
08/20/2007
Last updated
05/28/2020
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