Individual
WILLIAM PAUL SHIELD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13837 CIRCA CROSSING DR, LITHIA, FL 33547-4382
(813) 684-2663
(813) 658-6222
Mailing address
PO BOX 850001 DEPT 8272, ORLANDO, FL 32885-8272
(136) 842-6638
(813) 658-6222
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME148179
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A167148
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
07/19/2022
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