LESLIE G SHAWN (NPI# 1922057009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922057009 |
| Entity Type | Individual |
| Full Name | LESLIE G SHAWN |
| Credential | DO |
| Practice Address |
400 North Hiatus Road Suite 201 Pembroke Pines FL 33026 |
| Practice Telephone | 9544423434 |
| Practice Fax Number | 9544414425 |
| Mailing Telephone | 9544423434 |
| Mailing Fax Number | 9544414425 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0003957 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0378046-00 | 05 |
| Street Address |
400 NORTH HIATUS ROAD SUITE 201 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922661792 | All Pro Medical Services, LLC. | General Practice | 17769 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2019-04-17 |
| 1164996310 | Rma Medical Centers of Florida LLC | General Practice | 1 Sw 129th Ave Ste 405, Pembroke Pines, FL 33027-1718 | 2019-01-21 |
| 1972032498 | Family & Patient Health Group LLC | General Practice | 10796 Pines Blvd Suite 201, Pembroke Pines, FL 33026-3919 | 2017-06-08 |
| 1053552380 | Preferred Care Management | General Practice | 19451 Sheridan St, Suite 176, Pembroke Pines, FL 33332-1653 | 2009-03-17 |
| 1376769240 | Palm Springs Medical Services Inc | General Practice | 12133 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2007-04-18 |
| 1144385592 | Ausberto Bienvenido Hidalgo | General Practice | 302 Nw 179th Avenue, Suite 103, Pembroke Pines, FL 33029-2810 | 2006-12-26 |
| 1376588020 | /luis Roberto Briones | General Practice | 9877 Pines Blvd, Pembroke Pines, FL 33024-6164 | 2006-06-17 |
| 1083664346 | South Florida Baptist Group | General Practice | 18331 Pines Blvd, Suite 308, Pembroke Pines, FL 33027 | 2006-05-10 |
| 1467079541 | Claudia Vazquez Rabelo | General Practice | 8967 Taft St, Pembroke Pines, FL 33024-4648 | 2020-07-06 |
| 1255878005 | Caremax Medical Center of Pembroke Pines, LLC | General Practice | 501 Nw 103rd Ave, Pembroke Pines, FL 33026-3924 | 2017-01-31 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on LESLIE G SHAWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.