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 yesterday at 11:47 AM.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