MEDICARE: SHALEEN KONSTANTIN LMT

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
1	174400000X	Specialist	MA38949	FL

General Provider Information

NPI Number	:	1134334162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALEEN KONSTANTIN LMT

Provider Business Mailing Address
First Line	:	3431 NW 50TH AVE
Second Line	:	303
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1852 N NOB HILL RD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-6548
Country	:	US
Telephone Number	:	954-476-6401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1245879311 — MRS. MILDRED MILADY SARAVIA MENDOZA HAD
Practice Location Address:

1858 N NOB HILL RD
PLANTATION, FL
33322-6548

Practice Phone: 954-423-8828
Practice Fax: 954-424-2418

1467454157 — DR. SETH M. BERG O.D.
Practice Location Address:

1856 N NOB HILL RD , #261
PLANTATION, FL
33322-6548

Practice Phone: 954-536-8905
Practice Fax: 954-370-4546

1881754091 — MICHAEL J. COHEN D.C.
Practice Location Address:

1848 N NOB HILL RD
PLANTATION, FL
33322-6548

Practice Phone: 954-476-8884
Practice Fax: 954-476-2671

1083733760 — DR. FELIPE NORENA DDS, MSD
Practice Location Address:

1850 N NOB HILL RD
PLANTATION, FL
33322-6548

Practice Phone: 954-474-1600
Practice Fax: 954-475-8934

1114136009 — MRS. MARIELLA RENGIFO LICENSED MASSAGE THE
Practice Location Address:

1852 N NOB HILL RD , HOLISTIC MASSAGE & WELLNESS CLINICS
PLANTATION, FL
33322-6548

Practice Phone: 954-476-6401
Practice Fax:

1144422767 — MS. SANDRA MCKENZIE
Practice Location Address:

1852 N NOB HILL RD
PLANTATION, FL
33322-6548

Practice Phone: 954-476-6401
Practice Fax:

Directions to “ SHALEEN KONSTANTIN LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.