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1861159899
SHANE MICHAEL SOORUS
MIAMI, FL
NPI
1861159899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL 11016761)
Enumeration Date
2021-11-24
Last Update Date
2021-11-24
Business Address
SHANE MICHAEL SOORUS APRN, AGACNP-BC
1400 NW 12TH AVE
MIAMI, FL 33136-1087
Phone number: 269-217-3695
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Mailing Address
SHANE MICHAEL SOORUS APRN, AGACNP-BC
118 NW 100TH ST
MIAMI SHORES, FL 33150-1206
Phone number: 269-217-3695
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