Individual
DR. SHAUN ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 7TH ST S, SUITE 330, ST PETERSBURG, FL 33701-4719
(727) 553-7390
(727) 553-7399
Mailing address
401 22ND AVE SE, ST PETERSBURG, FL 33705-3303
(727) 895-4018
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME 86370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269689400
—
FL
Enumeration date
04/08/2006
Last updated
07/12/2011
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