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Contact Information

RENAE SHIBATA, MD
21 COLUMBIA ST STE 101
ORLANDO, FL32806-1133
 Phone: 321-841-6060
 Fax: 321-841-2442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RENAE SHIBATA · (Female)

NPI Number 1275065518
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2017
Last updated 09/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME163067
  • NY License # 309052-01
  • FL Medicaid 119187100
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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