| Robert J. Shepard, O.d. P.a. | |
|
2161 E Commercial Blvd Suite #4 Fort Lauderdale FL 33308-3810 | |
| (954) 771-9120 | |
| (954) 771-4883 |
| Full Name | Robert J. Shepard, O.d. P.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 2161 E Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Robert J Shepard (OWNER) |
| Authorized Official Contact | 9547719120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Shepard, O.d. P.a. 2161 E Commercial Blvd Suite #4 Fort Lauderdale FL 33308-3810 Ph: (954) 771-9120 | Robert J. Shepard, O.d. P.a. 2161 E Commercial Blvd Suite #4 Fort Lauderdale FL 33308-3810 Ph: (954) 771-9120 |
| NPI Number | 1609052984 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609052984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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