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1164422069
MICHAEL JAY SHORE
DEERFIELD BEACH, FL
NPI
1164422069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: FL PO 0001832)
Enumeration Date
2005-07-21
Last Update Date
2007-07-08
Business Address
-- MICHAEL JAY SHORE DPM
3832 W HILLSBORO BLVD
DEERFIELD BEACH, FL 33442-9413
Phone number: 954-360-0400
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Mailing Address
-- MICHAEL JAY SHORE DPM
3832 W HILLSBORO BLVD
DEERFIELD BEACH, FL 33442-9413
Phone number: 954-360-0400
Copy
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