Individual
JOHN DONALD SHELGREN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 293-5100
(863) 293-5300
Mailing address
427 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 293-5100
(863) 293-5300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME39638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066624600
—
FL
01
—
53639
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/18/2006
Last updated
10/19/2012
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