Organization
R DAVID SHEPARD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R DAVID SHEPARD MD (PRESIDENT)
(813) 876-5089
Entity
Organization
Contact information
Practice address
4224 N TAMPANIA AVE, TAMPA, FL 33607-6322
(813) 876-5089
(813) 876-5090
Mailing address
4224 N TAMPANIA AVE, TAMPA, FL 33607-6322
(813) 876-5089
(813) 876-5090
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME54530
FL
Other
Enumeration date
09/21/2007
Last updated
06/19/2008
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