| Doctor Name: | LESLIE G SHAWN |
| NPI Number: | 1922057009 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 0003957 |
| Business Practice Address: | 400 North Hiatus Road Suite 201 Pembroke Pines, FL - 33026 |
| Business Phone Number: | 9544423434 |
| Business Fax Number: | 9544414425 |
| Mailing Address: | 400 North Hiatus Road, Suite 201 PEMBROKE PINES |
| State: | FL |
| Postal Code: | 33026 |
| Phone Number: | 9544423434 |
| Fax Number: | 9544414425 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0003957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |