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Shanique Ebanks
NPI 1578937918 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2900 W Prospect Rd
Fort Lauderdale, FL 33309 - Phone
- (954) 731-5100
- Clinicians at this address
- 73
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
104100000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida