Individual ProviderShakira L Payne-BlackmanPathologyAllopathic & Osteopathic PhysiciansPractice Address7305 N Military Trl, Riviera Beach, FL 33410-7417(561) 422-6824PECOS EnrollmentBased on the most recent information from CMS, provider Shakira L Payne-Blackman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1669499323Provider TypeIndividualFull NamePayne-Blackman, Shakira LTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/17/2006Last Updated5/7/2014Contact InformationPractice LocationPractice Address7305 N Military Trl, Riviera Beach, FL 33410-7417Phone(561) 422-6824Fax(561) 422-6827Mailing LocationMailing Address7305 N Military Trl, Riviera Beach, FL 33410-7417Phone(561) 422-6824Fax(561) 422-6827Provider TaxonomiesCodeDescriptionLicenseCode207ZP0102XPrimaryDescriptionPathologyAllopathic & Osteopathic PhysiciansLicense25MA07987600New JerseyProvider IdentifiersIDDescriptionIssuerID0114316DescriptionMedicaidIssuerUnlistedNew Jersey