Mary Shenouda, M.D.

NPI #1104801976 in Lake City, Florida

Provider Information

NPI Number: 1104801976
Entity Type: Individual
Name: Mary Shenouda, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Dec 14, 2005
Last Updated: Dec 14, 2023

Practice Location

Address: 1615 SW MAIN BLVD
City: Lake City
State: Florida
ZIP Code: 32025-1108
Phone: (386) 755-2785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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