Individual provider · Type 1 NPI

Colton Shank

Student in an Organized Health Care Education/Training Program · Hollywood, FL

NPI number 1619868189 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Call (954) 987-2000 Map

Mailing address

21592 FM 1954
Holliday, TX 76366-3960

Other practice locations

  • 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 · (954) 265-5324
  • 9655 Boynton Beach Blvd, Boynton Beach, FL 33472-4421 · (561) 336-7000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X973026 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1619868189

Colton Shank's National Provider Identifier is 1619868189, issued on Jul 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hollywood, FL. The record was last updated on Jul 14, 2025.