Provider Demographics
NPI:1346733011
Name:SHOENER, AUSTIN RAND (MD)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:RAND
Last Name:SHOENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 VIA DELLAGIO WAY STE 142
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5400
Mailing Address - Country:US
Mailing Address - Phone:407-821-3670
Mailing Address - Fax:
Practice Address - Street 1:7940 VIA DELLAGIO WAY STE 142
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5400
Practice Address - Country:US
Practice Address - Phone:407-821-3670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4465207Q00000X
FLME163186207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine