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Search › Florida › 390200000X

Colton Shank

NPI 1619868189 · on the registry since 2025 · sole proprietor

Practice

Address
3501 Johnson St
Hollywood, FL 33021
Phone
(954) 987-2000
Organisation at this address
Erin E Bauer
Stuart Newmark Pa
Julio D Pina Md Pa
Tammy A Dorfman Pa
Imran U Siddiqui Do Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
506

Additional practice sites

  • 9655 Boynton Beach Blvd, Boynton Beach, FL
  • 1005 Joe Dimaggio Dr, Hollywood, FL

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
163W00000X
Licence states on file
NULL, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida