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Randy Shambaugh
NPI 1962549071 · on the registry since 2007 · sole proprietor
Practice
- Address
- 9100 Dr Martin Luther King Jr St N
1705
St Petersburg, FL 33702 - Phone
- (727) 579-0930
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 227800000X
227800000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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