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1255359386
JUSTIN L SHIELDS
PENSACOLA, FL
NPI
1255359386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: FL ME45060)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- JUSTIN L SHIELDS M.D.
540 FONTAINE ST
PENSACOLA, FL 32503-2019
Phone number: 850-484-4775
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Mailing Address
-- JUSTIN L SHIELDS M.D.
PO BOX 1555
GULF BREEZE, FL 32562-1555
Phone number: 850-484-4775
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