Mark W Shabla in Winter Haven - Gastroenterology

Mark W Shabla - NPI 1659340008

Mark W Shabla is a Gastroenterology in Winter Haven, Florida. Mark W Shabla practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mark W Shabla is 1659340008. The last update date is 2008-05-20.

Mark W Shabla's current location address is 635 1st St N, Winter Haven, Florida. You can contact this provider via phone number 8632940670 and fax number 8632983200. The mailing address for Mark W Shabla is 635 1st St N, Winter Haven, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark W Shabla
Address 635 1st St N, Winter Haven, Florida
Phone Number 8632940670
Fax Number 8632983200
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1659340008
Provider Enumeration Date 2006-03-17
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 635 1st St N
City Winter Haven
State Florida (FL)
Post Code 338814129
Phone Number 8632940670
Fax Number 8632983200

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No ME28695
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39522600 FL --
110007133 FL MEDICARE ID/ RRM PIN

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FAQs about Mark W Shabla

What is the unique 10-digit identifier code issued to Mark W Shabla by the Centers for Medicare & Medicaid Services?

The Mark W Shabla has been assigned the NPI (National Provider Identifier) 1659340008 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Mark W Shabla located?

The Mark W Shabla is located at 635 1St St N, Winter Haven, FL 338814129.

What is Mark W Shabla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark W Shabla is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659340008 to Mark W Shabla?

The Centers for Medicare & Medicaid Services originally issued the 1659340008 to Mark W Shabla on 2006-03-17.

When was the information regarding Mark W Shabla, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark W Shabla, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-20.

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