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1730132408
TIMOTHY RICHARD SHANER
PALM HARBOR, FL
NPI
1730132408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3603)
Enumeration Date
2006-05-17
Last Update Date
2019-07-01
Business Address
Mr. TIMOTHY RICHARD SHANER PAC
4132 WOODLANDS PKWY
PALM HARBOR, FL 34685-3494
Phone number: 727-786-5100
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Mailing Address
Mr. TIMOTHY RICHARD SHANER PAC
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7172
Phone number: 407-875-2080
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