| Stephen J Shields MD PA | |
|
1211 Reynolds Ave Suite B Clearwater FL 33756-3353 | |
| (727) 466-6564 | |
| Not Available |
| Full Name | Stephen J Shields MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 Reynolds Ave, Clearwater, Florida |
| Authorized Official Name and Position | Stephen Joseph Shields (PHYSICIAN) |
| Authorized Official Contact | 7274666564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Shields MD PA 1211 Reynolds Ave Suite B Clearwater FL 33756-3353 Ph: (727) 466-6564 | Stephen J Shields MD PA 1211 Reynolds Ave Suite B Clearwater FL 33756-3353 Ph: (727) 466-6564 |
| NPI Number | 1962653394 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 10/03/2008 |
| Medicare PECOS PAC ID | 3678641172 |
|---|---|
| Medicare Enrollment ID | O20081010000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962653394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME53720 (Florida) | Primary |
| Provider Name | Stephen J Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427018506 PECOS PAC ID: 3375523590 Enrollment ID: I20040720001075 |
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