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Contact Information

BLANE T SHATKIN, MD
7800 SHERIDAN ST FL 1
PEMBROKE PINES, FL33024-2536
 Phone: 954-883-8014
 Fax: 954-986-8306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BLANE T SHATKIN · (Male)

NPI Number 1215955653
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0059767
  • FL Medicaid 019128800
Hospital affiliation(s)
  • MEMORIAL HOSPITAL PEMBROKE - (Acute Care)
    7800 SHERIDAN ST
    PEMBROKE PINES, FL 33024
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
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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