| Organization Name: | SHANAHAN PODIATRY PA |
| NPI Number: | 1366630220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET JULIA HENRY (AR TECHNOLOGIES) |
| Mailing Address: | 3909 Galen Ct Suite 103 Sun City Center |
| State: | FL US |
| Postal Code: | 335736824 |
| Phone Number: | 8136340664 |
| Fax Number: | 8136340668 |
| NPI Enumeration Date: | 10/04/2007 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO3134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |