Mary Shenouda in Lake City - Ophthalmology

Mary Shenouda - NPI 1104801976

Mary Shenouda is a Ophthalmology in Lake City, Florida. Mary Shenouda practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mary Shenouda is 1104801976. The last update date is 2023-12-02.

Mary Shenouda's current location address is Po Box 489, Lake City, Florida. You can contact this provider via phone number 3867552785. The mailing address for Mary Shenouda is Po Box 489, Lake City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Shenouda
Address Po Box 489, Lake City, Florida
Phone Number 3867552785
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104801976
Provider Enumeration Date 2005-12-14
Last Updated Date 2023-12-02

Provider Mailing Address Detail

Address Po Box 489
City Lake City
State Florida (FL)
Post Code 320560489
Phone Number 3867552785
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 01060074A
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2713460 OH --

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FAQs about Mary Shenouda

What is the unique provider identifier assigned to Mary Shenouda?

The Mary Shenouda has been issued the NPI (National Provider Identifier) 1104801976 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mary Shenouda's facilities are situated?

The facilities of Mary Shenouda are physically located at the following address: Po Box 489, Lake City, FL, 320560489.

What is Mary Shenouda's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary Shenouda is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.

On what date did Mary Shenouda receive its 1104801976 assignment from the Centers for Medicare & Medicaid Services?

The Mary Shenouda was assigned its 1104801976 on 2005-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Mary Shenouda, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Shenouda, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-12-02.

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