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NPI Code Detail

MEDICARE: SHIRLEY PUBIEN RDCS

MEDICARE:   SHIRLEY  PUBIEN  RDCS
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
1246XS1301XSonography Specialist/Technologist Cardiovascular122309FL

General Provider Information

NPI Number : 1780261081
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY PUBIEN RDCS
Provider Business Mailing Address
First Line : 1835 NE MIAMI GARDENS DR # 408
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33179-5035
Country : US
Telephone Number : 305-434-0570
Fax Number :
Provider Business Practice Location Address
First Line : 5015 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6515
Country : US
Telephone Number : 305-434-0570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 08/02/2021

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Directions to “ SHIRLEY PUBIEN RDCS” Practice Location

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