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NPI Code Detail

MEDICARE: DR. SHAWYNTEE MIREILLE MAYO M.D.

MEDICARE: DR. SHAWYNTEE MIREILLE MAYO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology PhysicianP1706TX
2208000000XPediatrics PhysicianME131416FL
3208000000XPediatrics Physician208000000XNC
42080P0202XPediatric Cardiology PhysicianME131416FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952575854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWYNTEE MIREILLE MAYO M.D.
Provider Business Mailing Address
First Line : PO BOX 100296
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0296
Country : US
Telephone Number : 352-273-7770
Fax Number : 352-392-0547
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-265-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 05/26/2026

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