# JAMES D SHORTT M D P A

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

## Provider details

- **NPI number:** 1306015359
- **Authorized official:** MRS. KIMBERLY ANN CIRIECO (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (941) 955-1231

## Contact information

- **Practice address:** 5741 BEE RIDGE RD, SUITE 590, SARASOTA, FL 34233-5064
- **Practice address phone:** (941) 955-1231
- **Practice address fax:** (941) 378-3444
- **Mailing address:** PO BOX 25036, SARASOTA, FL 34277-2036
- **Mailing address phone:** (941) 955-1231
- **Mailing address fax:** (941) 378-3444

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 03/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24154 | BLUE CROSS BLUE SHIELD | FL |