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Dr. Shayne Raymond Jensen, DPM,FACFAS
Foot & Ankle Surgery Podiatrist in Panama City, Florida
NPI 1134139454

Shayne Raymond Jensen is a Foot & Ankle Surgery Podiatrist based in Panama City, FL and is specialized in Foot & Ankle Surgery. Shayne Raymond Jensen practices in Panama City, FL and has the professional credentials of DPM,FACFAS. The NPI Number for Shayne Raymond Jensen is 1134139454 and holds a License No. PO2867 (Florida).

The current practice location address for Shayne Raymond Jensen is 2201 Jenks Ave, Panama City, FL and can be reached out via phone at 850-769-0325 and via fax at 850-769-4476.

Location: 2201 Jenks Ave, Panama City, FL, 32405-4447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134139454
Provider Name
Shayne Raymond Jensen
Credential
DPM,FACFAS
Provider Entity Type
Individual
Gender
Male
Address
2201 Jenks Ave, Panama City, FL, 32405-4447
Phone Number
850-769-0325
Fax Number
850-769-4476
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45803 01 FL BLUECROSSBLUESHIELD GROUP
65657 01 FL BLUECROSSBLUESHIEL#
061666115 01 FL TAX ID
480035194 01 FL RR MEDICARE
CK8386 01 FL RR MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
2201 Jenks Ave
City
Panama City
State
Florida
Zip
32405-4531
Phone Number
850-769-0325
Fax Number
850-769-4476
person
Provider Business Mailing Address Details
Address
2201 Jenks Ave
City
Panama City
State
Florida
Zip
32405-4531
Phone Number
850-769-0325
Fax Number
850-769-4476
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO2867 (Florida)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO 2867 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
PO2867 (Florida)
Definition
Definition to come...
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