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COLTON SHANK
NPI 1619868189
Student in an Organized Health Care Education/Training Program in Hollywood, FL

Active since July 14, 2025
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 987-2000 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colton Shank NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLTON SHANK (NPI 1619868189) is an individual student in an organized health care education/training program in Hollywood, Florida and active in the NPI registry since July 2025. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619868189
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLTON SHANK
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing Address21592 Fm 1954Holliday, TX 76366-3960
Phone(954) 987-2000
Sole ProprietorYes
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 13, 2025
✔ NPI 1619868189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 973026 (TX)
3501 JOHNSON ST, Hollywood, FL 33021
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19655 Boynton Beach BlvdBoynton Beach, FL 33472-4421 · Phone (561) 336-7000
Location 21005 Joe DiMaggio DrHollywood, FL 33021-5402 · Phone (954) 265-5324

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESTER GOLDBERG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. TIMOTHY M. BURKE D.O.
Emergency Medicine
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. MOHAMMAD ALI ANSARI LARI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921
DR. STANLEY JARED CHANG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 437-4800
SAMANTHA THEMAS
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 265-5900
DR. CHANCE MILAN YURCO PHARMD, RPH
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
MR. GREGORY GRAVES JR. CAA
Anesthesiologist Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 939-5000
DR. SHERRY LOU WOODHOUSE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colton Shank's NPI number?

The NPI number for Colton Shank is 1619868189. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Colton Shank located?

Colton Shank practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 987-2000.

What is Colton Shank's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Colton Shank was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.