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Organization

JAMES D SHORTT M D P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY ANN CIRIECO (PRACTICE ADMINISTRATOR)
(941) 955-1231
Entity
Organization

Contact information

Practice address
5741 BEE RIDGE RD, SUITE 590, SARASOTA, FL 34233-5064
(941) 955-1231
(941) 378-3444
Mailing address
PO BOX 25036, SARASOTA, FL 34277-2036
(941) 955-1231
(941) 378-3444

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FL
208VP0014X
Interventional Pain Medicine Physician
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24154
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/25/2008
Last updated
03/12/2012
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