Shamaskin, Susan Mindy

Shamaskin, Susan Mindy is an individual health care provider with primary practice located at 1447 Medical Park Blvd #402, Wellington FL 33414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shamaskin, Susan Mindy can be contacted via phone (561) 790-2600.

Contact Information

Primary practice address
1447 Medical Park Blvd #402 Wellington FL 33414
Fax: (561) 790-1535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS0006066 Florida

Profile Details

NPI number 1306873278
LBN Legal business name Shamaskin, Susan Mindy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306873278 NPPES
Florida MEDICAID 371457800

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