Most Relevant Information
Provider Data
| NPI Number: | 1003236175 |
| Provider Name: | SHANNA STEPHEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | ME132321 |
Most Important Dates
| Enumeration Date: | 04/16/2014 |
| Last Updated: | 12/27/2022 |
Provider Practice Location
7539 W OAKLAND PARK BLVD STE 41
TAMARAC
FL
333194909
Practice Location Phone/Fax
| Phone: | 7542232705 |
| Fax: | 7542232836 |
Provider Mailing Location
7539 W OAKLAND PARK BLVD STE 41
TAMARAC
FL
333194909
Provider Mailing Phone/Fax
| Phone: | 7542232705 |
| Fax: | 7542232836 |
Suggested EMR
Pediatrics EMR