MR. Timothy Richard Shaner, PAC

NPI #1730132408 in Palm Harbor, Florida

Provider Information

NPI Number: 1730132408
Entity Type: Individual
Name: MR. Timothy Richard Shaner, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: May 17, 2006
Last Updated: Jul 1, 2019

Practice Location

Address: 4132 WOODLANDS PKWY
City: Palm Harbor
State: Florida
ZIP Code: 34685-3494
Phone: (727) 786-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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