1316927874

Everything you always wanted to know about SHUCAVAGE BERNARD M.D. but were afraid to ask.

SHUCAVAGE BERNARD M.D.

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Provider Last Name Provider First Name Provider Credential
SHUCAVAGE BERNARD M.D.
Gender:
Male
Enumeration date:
2006-01-20
Last update date:
2013-02-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
221478 Other AMERIGROUP none
02927 Other BC/BS FL FL
045538500 Medicaid none FL
050009345 Other RAILROAD MEDICARE none
591783920 Other EIN none

Taxonomies

Taxonomy State License Number Primary?
207L00000X Anesthesiology FL ME0046278 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2399392622
Practice Location Address Telephone Number 2399392622
Mailing Address Fax Number 2399390151
Practice Location Address Fax Number 2399390151

Addresses

Type Address City State Postal Country
Mailing Address 15391 KILBIRNIE DR FORT MYERS FL 33912 FL
Practice Location Address 12511 WORLD PLAZA LN BLDG 50 FORT MYERS FL 33907 FL

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1023040433 HANNERS, NATALIE
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1073956504 ADAMUS, KIMBERLY
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1114907664 HOMOLKA, CHARLES
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1124092150 CYMBOR, JOHN
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3949 EVANS AVE FL FORT MYERS
1124092978 PERNAL, JOANNE
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1134485915 MIZRAHI, LISSETTE
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1184009193 WILLIN, TIFFANY
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1215480306 BABU, LIJY
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1235107384 RENNIE, ELIZABETH
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1235169350 SALGADO, FREDY
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1245282656 LARAWAY, CAROL
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1265632921 MULCAHEY, ALISON
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1326019530 TURNER, ROBERT
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1336191741 RUSSAKIS, JOSEPH
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3949 EVANS AVE FL FORT MYERS
1336444876 RODGERS, KAITLIN
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12511 WORLD PLAZA LN FL FORT MYERS
1346214376 CLEARY, ROBERT
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7900 BUCKINGHAM RD FL FORT MYERS
1356545248 O'HALLORAN, MARGARET
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3949 EVANS AVE FL FORT MYERS
1356662944 HUENIKEN, JEANNINE
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12511 WORLD PLAZA LN BLDG 50 FL FORT MYERS
1376517235 GIRTS, DEBRA
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3949 EVANS AVE FL FORT MYERS
1386634335 GEMME, GERARD
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1386634467 FRANKINBURGER, KRISTINA
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3949 EVANS AVE FL FORT MYERS
1386965127 BRENNAN, NANCY
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3949 EVANS AVE STE 102 FL FORT MYERS
1407801772 SMOYER, ANNAMARIE
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3949 EVANS AVE FL FORT MYERS
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1407827421 BORDEN, AMY
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1437123486 DONATELLI, KELLY
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1437200169 GUSKE, SALLY JO
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3949 EVANS AVE FL FORT MYERS
1437224169 STINE, CHAD
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1447690250 CAPPADONA, EMILY
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1467426338 HANKS, DEANNA
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3949 EVANS AVE FL FORT MYERS
1477527315 MACCARTHY, SUSAN
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1508830472 HANSEN, ROBERT
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1518051309 PARE, PATRICIA
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3949 EVANS AVE FL FORT MYERS
1518931336 D'AUGUSTA, DENNIS
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12511 WORLD PLAZA LN BLDG 50 FL FORT MYERS
1518938273 STEPHENS, LORA
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1528089869 SOROKOTY, WALTER
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3949 EVANS AVE FL FORT MYERS
1558894097 HARRIS, MARY
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Organization
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1619941481 TRUSSELL, DIANE
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1639143407 TRACY, MAVIS
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1659351112 NICOTRA, JOSEPH
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1679760383 BORNACELLI VERGARA, RICARDO
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1689648479 WARE, PHYLLIS
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3949 EVANS AVE FL FORT MYERS
1699722686 LANSDEN, THOMAS
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1740251404 RAJAGOPAL, ADIKKAN
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3949 EVANS AVE FL FORT MYERS
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1780651356 UNIVERSITY ANESTHESIA
Organization
13051 UNIVERSITY DR FL FORT MYERS
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3949 EVANS AVE STE 102 FL FORT MYERS
1790775260 LOYA, RASHIDA
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Organization
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1023040433 HANNERS, NATALIE
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