Individual
STEPHEN J SHIDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 UNIVERSITY PKWY, SARASOTA, FL 34240-9037
(941) 800-5001
(941) 800-5012
Mailing address
5210 WEBB RD, TAMPA, FL 33615-4518
(813) 882-9986
(813) 341-3259
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME138861
FL
Other
Enumeration date
01/19/2006
Last updated
11/18/2021
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