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NPI Code Detail

MEDICARE: SHANA-KAY MAYE

MEDICARE:   SHANA-KAY  MAYE
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
1363AM0700XMedical Physician AssistantPA9106411FL
2363A00000XPhysician AssistantPA9106411FL

Other Identifiers

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

General Provider Information

NPI Number : 1235403312
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA-KAY MAYE
Provider Business Mailing Address
First Line : 700 N HIATUS RD STE 105
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33026-5206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N STATE ROAD 7
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3205
Country : US
Telephone Number : 954-894-7855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2012
Last Update Date : 12/18/2023

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Directions to “ SHANA-KAY MAYE ” Practice Location

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