Individual
JAMES K SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16890 US HIGHWAY 441, MOUNT DORA, FL 32757-6705
(352) 385-4404
Mailing address
PO BOX 547729, ORLANDO, FL 32854-7729
(321) 279-5586
(407) 843-5040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME45929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME45929
FLORIDA MEDICAL LICENSE
FL
Enumeration date
12/27/2006
Last updated
01/11/2024
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