Individual
DR. SHEA SPEIGHTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. D
Contact information
Practice address
103 W HAMILTON AVE, TAMPA, FL 33604-5420
(813) 650-7720
Mailing address
1503 WARMAN CT, TAMPA, FL 33613-1527
(813) 650-7720
(813) 354-2534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692610096
—
FL
05
—
692610098
—
FL
Enumeration date
10/11/2012
Last updated
10/11/2012
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