Soorus, Shane Michael

Soorus, Shane Michael is an individual health care provider with primary practice located at 1400 Nw 12Th Ave , Miami FL 33136-1087. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Soorus, Shane Michael can be contacted via phone (269) 217-3695.

Contact Information

Primary practice address
1400 Nw 12Th Ave Miami FL 33136-1087
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11016761 Florida

Profile Details

NPI number 1861159899
LBN Legal business name Soorus, Shane Michael
Credentials APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2021
Last updated Nov 24th, 2021 - about 5 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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