Organization
JOHN L. SHOVER D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LINDSAY SHOVER D.O. (PHYSICIAN)
(727) 541-4458
Entity
Organization
Contact information
Practice address
8133 54TH AVE N, ST PETERSBURG, FL 33709-1001
(727) 541-4458
(727) 546-6663
Mailing address
8133 54TH AVE N, ST PETERSBURG, FL 33709-1001
(727) 541-4458
(727) 546-6663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057509700
—
FL
Enumeration date
08/31/2011
Last updated
08/31/2011
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