Provider Demographics
NPI:1679779300
Name:ALLEN, SHENE CORBIN (MD)
Entity type:Individual
Prefix:DR
First Name:SHENE
Middle Name:CORBIN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1715 E HWY 50
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5187
Mailing Address - Country:US
Mailing Address - Phone:407-857-2502
Mailing Address - Fax:407-857-1855
Practice Address - Street 1:1715 E HWY 50
Practice Address - Street 2:SUITE B
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5187
Practice Address - Country:US
Practice Address - Phone:407-857-2502
Practice Address - Fax:407-857-1855
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2010-09-29
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Provider Licenses
StateLicense IDTaxonomies
FLME94697207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL281020400Medicaid
FLBB534YMedicare PIN
FL281020400Medicaid