Shauna Nichole Bedasse, MD
Family Medicine in Lauderdale Lakes, FL. Individual provider (NPI-1).
NPI number1255891768
StatusActive
Last updated in NPPESMar 6, 2026
Details
- NPI
- 1255891768
- Entity type
- Individual (NPI-1)
- Name
- Shauna Nichole Bedasse
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Certification date
- Mar 6, 2026
- Last updated
- Mar 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME155701 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4850 W Oakland Park BlvdLauderdale Lakes, FL 33313-7260
Phone 954-735-1200
Mailing address
6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Phone 305-500-2000
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All 30 Family Medicine Physician providers in Lauderdale Lakes · All 973 providers in Lauderdale Lakes
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