Bedasse, Shauna Nichole
Bedasse, Shauna Nichole is an individual health care provider with primary practice located at 4850 W Oakland Park Blvd , Lauderdale Lakes FL 33313-7260. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bedasse, Shauna Nichole can be contacted via phone (954) 735-1200.Contact Information
Primary practice address
4850 W Oakland Park Blvd
Lauderdale Lakes FL 33313-7260
Phone: (954) 735-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME155701 | Florida |
Profile Details
| NPI number | 1255891768 |
|---|---|
| LBN Legal business name | Bedasse, Shauna Nichole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2019 |
| Last updated | Jan 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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