| Leslie Shawn D.o. P.a. | |
|
400 N Hiatus Rd Suite 201 Pembroke Pines FL 33026-5214 | |
| (954) 442-3434 | |
| (954) 441-4425 |
| Full Name | Leslie Shawn D.o. P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 400 N Hiatus Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Leslie Gordon Shawn (PHYSICIAN) |
| Authorized Official Contact | 9544423434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Shawn D.o. P.a. 400 N Hiatus Rd Suite 201 Pembroke Pines FL 33026-5214 Ph: (954) 442-3434 | Leslie Shawn D.o. P.a. 400 N Hiatus Rd Suite 201 Pembroke Pines FL 33026-5214 Ph: (954) 442-3434 |
| NPI Number | 1295024636 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Medicare PECOS PAC ID | 3274701925 |
|---|---|
| Medicare Enrollment ID | O20110722000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295024636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Leslie G Shawn |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922057009 PECOS PAC ID: 8527236272 Enrollment ID: I20110722000577 |
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