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Renae Shibata, MD
Obstetrics & Gynecology Physician in Orlando, Florida
NPI 1275065518

Renae Shibata is a Obstetrics & Gynecology Physician based in Orlando, FL. Renae Shibata practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Renae Shibata is 1275065518 and holds a License No. 309052-01 (Florida).

The current practice location address for Renae Shibata is 21 Columbia St Ste 101, Orlando, FL and can be reached out via phone at 321-841-6060 and via fax at 321-841-2442.

Location: 21 Columbia St Ste 101, Orlando, FL, 32806-1133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275065518
Provider Name
Renae Shibata
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
21 Columbia St Ste 101, Orlando, FL, 32806-1133
Phone Number
321-841-6060
Fax Number
321-841-2442
Provider Enumeration Date
03/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119187100 05 FL
institution
Provider Business Practice Location Address Details
Address
21 Columbia St Ste 101
City
Orlando
State
Florida
Zip
32806-1133
Phone Number
321-841-6060
Fax Number
321-841-2442
person
Provider Business Mailing Address Details
Address
21 Columbia St Ste 101
City
Orlando
State
Florida
Zip
32806-1133
Phone Number
321-841-6060
Fax Number
321-841-2442
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
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Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
309052-01 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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