# JAMES D SHORTT MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073932570
- **Authorized official:** JAMES D SHORTT MD (CEO)
- **Authorized official phone:** (941) 782-4545

## Contact information

- **Practice address:** 528 48TH STREET CT E, BRADENTON, FL 34208-5508
- **Practice address phone:** (941) 782-4545
- **Mailing address:** 528 48TH STREET CT E, BRADENTON, FL 34208-5508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME67392 | FL | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/11/2014
- **Last updated:** 04/11/2014